Organization
ANTONIA MOORE
Active
Other names
Higher Grounds Counseling Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIA W. MOORE LCSW (CLINICAL DIRECTOR)
(713) 349-9796
Entity
Organization
Contact information
Practice address
7505 FANNIN ST, STE 310, HOUSTON, TX 77054-1945
(713) 349-9796
(877) 594-6465
Mailing address
3014 HAVERLING DR, PEARLAND, TX 77584-9159
(713) 349-9796
(877) 594-6465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156412201
—
TX
01
—
219965
COMPSYCH, MENTAL HEALTH
TX
Enumeration date
11/14/2006
Last updated
09/11/2015
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