Provider Demographics
NPI:1184433088
Name:MOREAU, DALLAS JOSEPH III (LPC)
Entity type:Individual
Prefix:MR
First Name:DALLAS
Middle Name:JOSEPH
Last Name:MOREAU
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 RED BUD DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77632-8998
Mailing Address - Country:US
Mailing Address - Phone:409-988-3161
Mailing Address - Fax:
Practice Address - Street 1:1201 RED BUD DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77632-8998
Practice Address - Country:US
Practice Address - Phone:409-988-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01144101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional