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General NPI Number Information
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NPI Number | 1194665612
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Entity Type | Organization
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Legal Business Name | MOORE TO LIFE COUNSELING, LLC.
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 325 COUNTY ROAD 396
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City | JARRELL
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State | TX
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Zip | 76537-1113
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Country | US
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Telephone | 512-200-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 325 COUNTY ROAD 396
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City | JARRELL
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State | TX
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Zip | 76537-1113
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Country | US
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Telephone | 512-200-4441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER WILLS MOORE
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Credential | PHD, LPC-S, NCC, SC
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Telephone | 512-825-3664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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