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NPI Code Detail

MEDICARE: MOORE GUDERIAN MINDFUL SOLUTIONS

MEDICARE: MOORE GUDERIAN MINDFUL SOLUTIONS
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1639743610
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOORE GUDERIAN MINDFUL SOLUTIONS
Provider Business Mailing Address
First Line : 24 GREENWAY PLZ STE 1800
Second Line :
City : HOUSTON
State : TX
Zip : 77046-2457
Country : US
Telephone Number : 281-262-2230
Fax Number :
Provider Business Practice Location Address
First Line : 24 GREENWAY PLZ STE 1800
Second Line :
City : HOUSTON
State : TX
Zip : 77046-2457
Country : US
Telephone Number : 281-262-2230
Fax Number :
Authorized Official
Title or Position : MSW, LCSW/OWNER/COUNSELOR
Name : JUSTINE L. MOORE
Credential :
Telephone Number : 281-262-2230
Provider Enumeration Date : 05/14/2021
Last Update Date : 05/31/2024

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Directions to “MOORE GUDERIAN MINDFUL SOLUTIONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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