Organization
DR. MOORE'S TELE-THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY S MOORE-MERRELL LMFTI, PSY.D (OWNER, PRESIDENT & CEO)
(702) 815-9494
Entity
Organization
Contact information
Practice address
304 S JONES BLVD STE 264, LAS VEGAS, NV 89107-2623
(702) 815-9494
(702) 553-3417
Mailing address
304 S JONES BLVD STE 264, LAS VEGAS, NV 89107-2623
(702) 815-9494
(702) 553-3417
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/02/2020
Last updated
10/06/2020
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