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NPI Code Detail

MEDICARE: ANITRA D MOORE LPC

MEDICARE: ANITRA D MOORE LPC
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
1101YP2500XProfessional Counselor95825TX

General Provider Information

NPI Number : 1750237376
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITRA D MOORE LPC
Provider Business Mailing Address
First Line : 4321 KINGWOOD DR UNIT 224
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3700
Country : US
Telephone Number : 281-224-3968
Fax Number :
Provider Business Practice Location Address
First Line : 23051 KINGWOOD PLACE DR STE 110
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-3962
Country : US
Telephone Number : 844-824-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 05/20/2026

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Directions to “ ANITRA D MOORE LPC” Practice Location

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