| Moore Mental Health & Behavioral Services Pllc | |
|
17030 Nanes Dr Ste 201 Houston TX 77090-2504 | |
| (281) 415-1280 | |
| (281) 271-8927 |
| Full Name | Moore Mental Health & Behavioral Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 17030 Nanes Dr Ste 201, Houston, Texas |
| Authorized Official Name and Position | Melissa A Moore (OWNER) |
| Authorized Official Contact | 2817055620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Mental Health & Behavioral Services Pllc Po Box 90446 Houston TX 77290-0446 Ph: (281) 919-1059 | Moore Mental Health & Behavioral Services Pllc 17030 Nanes Dr Ste 201 Houston TX 77090-2504 Ph: (281) 415-1280 |
| NPI Number | 1639428980 |
|---|---|
| Provider Enumeration Date | 09/02/2012 |
| Last Update Date | 04/29/2022 |
| Certification Date | 06/10/2021 |
| Medicare PECOS PAC ID | 6507015989 |
|---|---|
| Medicare Enrollment ID | O20120928000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639428980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 36006 (Texas) | Primary |
| Provider Name | Melissa A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609131127 PECOS PAC ID: 3577712959 Enrollment ID: I20120928000120 |
| Provider Name | Dahl A Rollins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326570342 PECOS PAC ID: 9739454216 Enrollment ID: I20171010000294 |
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