| Moore Resiliency Behavioral Health | |
|
6107 Shelbourne Park Ln Houston TX 77084-1895 | |
| (713) 702-9109 | |
| Not Available |
| Full Name | Moore Resiliency Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6107 Shelbourne Park Ln, Houston, Texas |
| Authorized Official Name and Position | Jacina Y Moore (PRESIDENT) |
| Authorized Official Contact | 7137029109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Resiliency Behavioral Health 6107 Shelbourne Park Ln Houston TX 77084-1895 Ph: (713) 702-9109 | Moore Resiliency Behavioral Health 6107 Shelbourne Park Ln Houston TX 77084-1895 Ph: (713) 702-9109 |
| NPI Number | 1659253888 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659253888 | NPI | - | NPPES |
| D18874966 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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