IndividualActive
Elizabeth Moore
NPI 1639989593 · Marriage & Family Therapist · Grapevine, TX
Provider details
- NPI number
- 1639989593
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 205873 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
414 N Main St Unit 103
Grapevine, TX 76051-3395
Phone: (817) 385-6264
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Dartmouth Dr
Southlake, TX 76092-7103
Registry dates
- Enumerated
- 2025-01-11
- Last updated
- 2025-01-11
- Certified
- 2025-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.