MEDICARE: HEAR MY CRY WELLNESS CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1588599690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAR MY CRY WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	2904 FLOYD ST STE F
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-5910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 FLOYD ST STE F
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-5910
Country	:	US
Telephone Number	:	214-417-2655
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAZORA DOTIE-MOORE
Credential	:
Telephone Number	:	214-417-2655

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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