Individual
MS. CYNTHIA DIANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
7011 SOUTHWEST FWY, 2616 SOUTH LOOP, WEST, SUITE 602 HOUSTON, TX 77054, HOUSTON, TX 77074-2007
(713) 970-7000
(713) 970-7246
Mailing address
4111 PALMER PLANTATION DR, MISSOURI CITY, TX 77459-4263
(713) 201-5985
(832) 230-1512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006443LC
BLUECROSS BLUESHIELD - TX
TX
Enumeration date
08/18/2006
Last updated
09/11/2025
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