Provider Demographics
NPI:1023890456
Name:MORENO, ADRIANNA (LPC-A)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:
Last Name:MORENO
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 ARAPAHO DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7476
Mailing Address - Country:US
Mailing Address - Phone:253-970-8493
Mailing Address - Fax:
Practice Address - Street 1:100 W CENTRAL TEXAS EXPY STE 208
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2080
Practice Address - Country:US
Practice Address - Phone:254-432-5521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health