Individual
BONNIE MADELINE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1922 WAGON GAP TRL, HOUSTON, TX 77090-1026
(281) 444-9553
(281) 444-9553
Mailing address
1922 WAGON GAP TRL, HOUSTON, TX 77090-1026
(281) 444-9553
(281) 444-9553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
19539
TX
101YP2500X
Professional Counselor
19539 233304
TX
102L00000X
Psychoanalyst
19539
TX
103K00000X
Behavior Analyst
Primary
19539 233304
TX
103TC1900X
Counseling Psychologist
19539 233304
TX
103TF0200X
Forensic Psychologist
19539 233304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11664355
OLD AETNA BEHAVIORAL HEALTH
TX
01
—
1477756278
PURPOSE PSYCHOLOGY NPI
TX
01
—
21299221648
BEECHSTREET
TX
01
—
2554015
CIGNA BEHAVIORAL HEALTH
TX
01
—
256874
OLD COMPSYCH
TX
01
—
365283
MHN PROVIDER ID
TX
01
—
403328
PURPOSE PSYCHOLOGY'S MHN #
TX
01
—
570718
VALUEOPTIONS MHS#
TX
01
—
760323389
CIGNA HEALTHCARE
TX
01
—
85495L
BCBS
TX
01
—
9443845
OLD PHCS MULTI-PLAN
TX
01
—
H00028QK01
PURPOSE PSYCHOLOGY BCBS
TX
01
—
H07190LC01
OLD BCBS
TX
01
—
H07280LC01
OLD BCBS NUMBER
TX
01
—
H085495L
BCBS FULL NUMBER
TX
Enumeration date
10/13/2006
Last updated
01/30/2011
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