Provider Demographics
NPI:1184427239
Name:MOEN, DANIEL RICHARD (LMFT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:RICHARD
Last Name:MOEN
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 N MAIN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1139
Mailing Address - Country:US
Mailing Address - Phone:254-702-2495
Mailing Address - Fax:
Practice Address - Street 1:3011 N MAIN ST
Practice Address - Street 2:STE B
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-1139
Practice Address - Country:US
Practice Address - Phone:254-307-2495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205215106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist