Healthcare Provider Details

I. General information

NPI: 1255481388
Provider Name (Legal Business Name): ALBERT FRICHEL MORENO LMFT, LPC, LISAC,MAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 N PIEDRAS ST WILLIAM BEAUMONT ARMY MEDICAL CENTER
EL PASO TX
79920-5001
US

IV. Provider business mailing address

299 KINGS POINT DR. APT. 122
EL PASO TX
79912
US

V. Phone/Fax

Practice location:
  • Phone: 915-568-0529
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLISAC-10026
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPA # PC003336
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberNM # 0075461
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: