MEDICARE: DAVINE MORAA MOGAKA

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	89808	TX

General Provider Information

NPI Number	:	1124872395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVINE MORAA MOGAKA

Provider Business Mailing Address
First Line	:	2308 SHADABURY DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5574
Country	:	US
Telephone Number	:	908-422-8002
Fax Number	:

Provider Business Practice Location Address
First Line	:	2308 SHADABURY DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5574
Country	:	US
Telephone Number	:	908-422-8002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	12/08/2025

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Directions to “ DAVINE MORAA MOGAKA ” Practice Location

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