Search › Texas › 251B00000X
Charleszetta Moore, QMHP
NPI 1487361341 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4409 Disraeli Dr Apt 5101
Fort Worth, TX 76119 - Phone
- (817) 585-0664
Registry record
- Primary taxonomy
- 251B00000X
251B00000X
- Also registered as
- 171M00000X
171W00000X
172V00000X
372600000X
373H00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas