MEDICARE: JANICE MORAN COUNSELING, PLLC

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

General Provider Information

NPI Number	:	1417806704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANICE MORAN COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	5532 FLYNN CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-4970
Country	:	US
Telephone Number	:	214-394-2091
Fax Number	:

Provider Business Practice Location Address
First Line	:	5532 FLYNN CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-4970
Country	:	US
Telephone Number	:	214-394-2091
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JANICE ANNE MORAN
Credential	:	PH.D.
Telephone Number	:	214-394-2091

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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