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BONNIE MADELINE MOORE MA, LPC

Behavioral Analyst

Houston, Texas

Provider NPI: 1376633214

Provider Information:
 BONNIE MADELINE MOORE MA, LPC
Gender: F
Sole Proprietor


Practice Location:
1922 WAGON GAP TRL  HOUSTON, TX 77090 US
Tel: 281-444-9553  Fax: 281-444-9553

Business Mailing Address:
1922 WAGON GAP TRL  HOUSTON, TX 77090 US
Tel: 281-444-9553  Fax: 281-444-9553

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
TX19539
N101YP2500XBehavioral Health & Social Service Providers
Counselor
TX19539 233304
N103TC1900XBehavioral Health & Social Service Providers
Psychologist
TX19539 233304
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
TX19539 233304
Y103K00000X
TX19539 233304
N102L00000XBehavioral Health & Social Service Providers
Psychoanalyst
TX19539

Other Provider Identifiers:

IssuerNumberStateType
PURPOSE PSYCHOLOGY'S MHN #403328TX01
MHN PROVIDER ID365283TX01
OLD AETNA BEHAVIORAL HEALTH11664355TX01
OLD COMPSYCH256874TX01
OLD PHCS MULTI-PLAN9443845TX01
BCBS FULL NUMBERH085495LTX01
PURPOSE DEVELOPMENT'S TIN/EIN753227557TX01
PURPOSE PSYCHOLOGY BCBSH00028QK01TX01
PURPOSE PSYCHOLOGY NPI1477756278TX01
OLD BCBSH07190LC01TX01
OLD BCBS NUMBERH07280LC01TX01
BEECHSTREET21299221648TX01
VALUEOPTIONS MHS#570718TX01
CIGNA HEALTHCARE760323389TX01
OLD EIN861144765TX01
BCBS85495LTX01
PURPOSE PSYCHOLOGY'S TIN/EIN263898229TX01
CIGNA BEHAVIORAL HEALTH2554015TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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