AUSTIN GREGORY MOORE


Address: 307 E Danforth Rd Ste 150, Edmond, OK 73034
Phone: 4052854700

AUSTIN GREGORY MOORE (NPI# 1235481086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235481086
Entity Type Individual
Full Name AUSTIN GREGORY MOORE
Credential LMFT
Practice Address 307 E Danforth Rd Ste 150
Edmond
OK 73034
Mailing Address 307 E Danforth Rd Ste 150
Edmond
OK 73034-4495
Practice Telephone 4052854700
Practice Fax Number 4052854767
Mailing Telephone 4052854700
Mailing Fax Number 4052854767
Enumeration Date 2012-10-03
Last Update Date 2018-10-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1135 OK Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200456510A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
744 Se 25th St, Oklahoma City, OK 731294843 8064385263

Other Providers AUSTIN MOORE

NPI Name Taxonomy Address Enumeration
1073077756 Austin Moore Student in an Organized Health Care Education/Training Program 1842 8th Ave Apt B, Greeley, CO 80631-5692 2019-01-26
1326497637 Austin T Moore Student in an Organized Health Care Education/Training Program 1325 18th St Apt 105, Sacramento, CA 95811-5144 2016-06-07
1659928703 Austin Moore Physical Therapist 2090 Woodwinds Dr, Woodbury, MN 55125-2522 2019-08-23
1316203060 Austin Moore Psychiatry & Neurology 123 Henry St, Brooklyn, NY 11201-2549 2012-04-06

Office Location

Street Address 307 E DANFORTH RD STE 150
City EDMOND
State OK
Zip Code 73034

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
Find all providers in zip 73034

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073110110 Leah Grace Johnson Marriage & Family Therapist 14813 Moon Daisy Dr, Edmond, OK 73013-1466 2020-10-01
1912540204 Pamela Kim Mahn Marriage & Family Therapist 15708 Val Ct, Edmond, OK 73013-1799 2019-10-20
1528573771 Leslie Renee Crane Marriage & Family Therapist 2529 S. Kelly Ave., Suite C, Edmond, OK 73013-2976 2017-12-11
1598154494 Kimberly Dean Ma Lmft Pllc Marriage & Family Therapist 14709 Moon Daisy Dr, Edmond, OK 73013-1402 2015-01-15
1780088039 Megan Barrett Marriage & Family Therapist 1320 E 9th St Ste 6, Edmond, OK 73034-5773 2014-10-15
1922429307 Jaclyn Ivy Rowland Marriage & Family Therapist 2840 Nw 183rd St, Edmond, OK 73012-7627 2014-01-02
1548508401 Matthew Fletcher Stevenson Marriage & Family Therapist 717 Nw 141st St, Edmond, OK 73013-1920 2013-01-27
1720323934 Process To Progress Counseling Services, LLC Marriage & Family Therapist 2101 Del Simmons Dr, Edmond, OK 73003-2411 2012-11-29
1063778967 Kenneth Harris Marriage & Family Therapist 801 W 33rd St Unit 7972, Edmond, OK 73083-9517 2012-04-04
1972876225 Jill Ann Brown Marriage & Family Therapist 2217 Pine View Ter, Edmond, OK 73003-2475 2012-02-17
Find all providers in EDMOND

Competitor

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City EDMOND
Zip Code 73034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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