Michelle Moore, | |
100 E Avenue A, Killeen, TX 76541-4763 | |
(254) 526-4146 | |
Not Available |
Full Name | Michelle Moore |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 100 E Avenue A, Killeen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700423969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 203080 (Texas) | Primary |
Entity Name | Central Counties Center For Mental Health & Mental Retardation Srvs |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356310585 PECOS PAC ID: 1658341359 Enrollment ID: O20040803000542 |
Mailing Address | Practice Location Address |
---|---|
Michelle Moore, 1120 Sierra Vista Dr, Gatesville, TX 76528-3986 Ph: (254) 844-3207 | Michelle Moore, 100 E Avenue A, Killeen, TX 76541-4763 Ph: (254) 526-4146 |
Loria Ann Lofton, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3816 S Clear Creek Rd, Bldg C, Ste. 301, Killeen, TX 76549 Phone: 254-690-5847 Fax: 254-773-0919 | |
Jason Duckworth, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3816 Clear Creek Rd Ste C301, Killeen, TX 76549 Phone: 844-824-8775 | |
Mr. Stephen Boris Fesuk Jr., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 E Avenue A, Killeen, TX 76541 Phone: 254-526-4146 Fax: 254-526-9351 | |
Mrs. Regina Gale Cansler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1010 W Jasper Dr, Suite 9, Killeen, TX 76542 Phone: 254-519-1144 Fax: 254-519-1155 | |
Susan Ray Freeman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1010 W Jasper Dr, Killeen, TX 76542 Phone: 254-519-1144 | |
Ashley Lindsay Montez, MS, LMFT-ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2201 S W S Young Dr Ste 114-a104, Killeen, TX 76543 Phone: 334-324-7416 | |
Cherelle Viscarra, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2511 Trimmier Rd Ste 14038, Killeen, TX 76542 Phone: 254-394-8212 |