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Individual
TRACEY EVETTE MOORE
Active
Individual
TRACEY EVETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17934
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
64457
TX
101YM0800X
Mental Health Counselor
17934
TX
171400000X
Health & Wellness Coach
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
172A00000X
Driver
—
NULL
172V00000X
Community Health Worker
1521
TX
175T00000X
Peer Specialist
3132019
TX
251B00000X
Case Management Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
372600000X
Adult Companion
—
NULL
Other
Enumeration date
03/25/2025
Last updated
09/07/2026
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