DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. KATHLEEN ANN MOORE LPC

MEDICARE: MRS. KATHLEEN ANN MOORE LPC
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
1101YP2500XProfessional Counselor13112TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113112OTHERTXLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972676559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN ANN MOORE LPC
Provider Business Mailing Address
First Line : 909 PECAN ST
Second Line :
City : BASTROP
State : TX
Zip : 78602-3819
Country : US
Telephone Number : 512-360-8488
Fax Number : 956-253-2505
Provider Business Practice Location Address
First Line : 909 PECAN ST
Second Line :
City : BASTROP
State : TX
Zip : 78602-3819
Country : US
Telephone Number : 512-360-8488
Fax Number : 956-253-2505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 04/06/2026

Similar Medicare Providers

1780612853 — CHRISTINA E GOULD L.C.S.W.
Practice Location Address:
909 PECAN ST
BASTROP, TX
78602-3819
Practice Phone: 512-797-8242
Practice Fax: 512-303-6416
1174736664 — MARGARET ELLYN MUSSELMAN APRN-BC
Practice Location Address:
909 PECAN ST
BASTROP, TX
78602-3819
Practice Phone: 512-360-8488
Practice Fax: 512-253-2505
1780919019 — GOBBEL COUNSELING & ADOPTION SERVICES
Practice Location Address:
909 PECAN ST
BASTROP, TX
78602-3819
Practice Phone: 512-985-6698
Practice Fax:
1306197157 — DR. SUSAN CROMWELL DUNCAN M.S., PHD
Practice Location Address:
909 PECAN ST
BASTROP, TX
78602-3819
Practice Phone: 512-321-7334
Practice Fax:
1881032779 — LISA A HEWITT PH.D.
Practice Location Address:
909 PECAN ST
BASTROP, TX
78602-3819
Practice Phone: 512-321-7334
Practice Fax:
1184050726 — DR. STACEY RHEA THOMPSON PSYD
Practice Location Address:
909 PECAN ST
BASTROP, TX
78602-3819
Practice Phone: 719-510-7883
Practice Fax:

Directions to “ MRS. KATHLEEN ANN MOORE LPC” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.