MEDICARE: ANITRA DELANA MOORE

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	101YP2500X	Professional Counselor	95825	TX

General Provider Information

NPI Number	:	1750237376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITRA DELANA MOORE

Provider Business Mailing Address
First Line	:	4321 KINGWOOD DR UNIT 224
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3700
Country	:	US
Telephone Number	:	281-224-3968
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 KINGWOOD DR
Second Line	:	UNIT #224
City	:	KINGWOOD
State	:	TX
Zip	:	77339
Country	:	US
Telephone Number	:	281-224-3968
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ ANITRA DELANA MOORE ” Practice Location

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