Provider Demographics
NPI:1467261214
Name:MOORHEAD, JAMES FENTON II (LMFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FENTON
Last Name:MOORHEAD
Suffix:II
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11012 DENALI DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8487
Mailing Address - Country:US
Mailing Address - Phone:512-968-5750
Mailing Address - Fax:
Practice Address - Street 1:11012 DENALI DR
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-8487
Practice Address - Country:US
Practice Address - Phone:512-968-5750
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
TX4284106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist