Provider Demographics
NPI:1518100643
Name:MOSE, D'ANGELA HENRY (CART, LPC)
Entity Type:Individual
Prefix:MRS
First Name:D'ANGELA
Middle Name:HENRY
Last Name:MOSE
Suffix:
Gender:F
Credentials:CART, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12918 SCHILLER PARK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1954
Mailing Address - Country:US
Mailing Address - Phone:832-253-8118
Mailing Address - Fax:832-286-4240
Practice Address - Street 1:12918 SCHILLER PARK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1954
Practice Address - Country:US
Practice Address - Phone:832-253-8118
Practice Address - Fax:832-286-4240
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61843101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional