TAKISHA NICOLE MOORE


Address: 8602 Withers Ridge Dr, Richmond, TX 77407-2663
Phone: 6789739092

TAKISHA NICOLE MOORE (NPI# 1750990297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750990297
Entity Type Individual
Full Name TAKISHA NICOLE MOORE
Credential PMRC, MHPS
Practice Address 8602 Withers Ridge Dr
Richmond
TX 77407-2663
Practice Telephone 6789739092
Mailing Telephone 6789739092
Enumeration Date 2020-07-30
Last Update Date 2020-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
2922019 TX Behavioral Health & Social Service Providers

Office Location

Street Address 8602 WITHERS RIDGE DR
City RICHMOND
State TX
Zip Code 77407-2663

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City RICHMOND
Zip Code 77407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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