MRS. JACQUELINE BLAIR MOORE (NPI# 1689222754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689222754 |
Entity Type | Individual |
Full Name | MRS. JACQUELINE BLAIR MOORE |
Other Name | MRS. JACKIE BLAIR MOORE |
Credential | LPC |
Practice Address |
14651 Dallas Pkwy Ste 134 Dallas TX 75254-8904 |
Practice Telephone | 2145663698 |
Mailing Telephone | 2145663698 |
Enumeration Date | 2019-08-30 |
Last Update Date | 2019-08-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
73741 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376103838 | Jacqueline Faith Moore | Marriage & Family Therapist | 5450 Ralston St Ste 101, Ventura, CA 93003-6042 | 2019-06-17 |
1033611256 | Jacqueline Moore | Registered Nurse | 314 Main St Ste D, Monticello, MS 39654-3702 | 2018-03-03 |
1952655466 | Jacqueline Adele Moore | Massage Therapist | 1048 Spinnaker St, Elgin, IL 60123-8587 | 2012-11-06 |
1659649002 | Jacqueline Historian Moore | Licensed Practical Nurse | 6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 | 2011-12-13 |
1619173838 | Jacqueline Diana Moore | Surgery | 2280 Opitz Blvd Ste 110, Woodbridge, VA 22191-3362 | 2007-06-25 |
1962059980 | Jacqueline Moore | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-08-23 |
1336702638 | Jacqueline Dyan Moore | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
1336702315 | Jacqueline Moore | Developmental Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2019-04-16 |
1598235889 | Jacqueline Marie Moore | Nurse Practitioner | 101 E 8th St Ste 110, Vancouver, WA 98660-3294 | 2018-11-29 |
1245705631 | Jacqueline Moore | Peer Specialist | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-10-11 |
Street Address |
14651 DALLAS PKWY STE 134 |
City | DALLAS |
State | TX |
Zip Code | 75254-8904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
Find all providers in zip 75254 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
Find all providers in DALLAS |
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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.