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Timothy Glen Moore, PEERSUPPORTSPECIAL
Peer Specialist in Irving, Texas
NPI 1033501184

Timothy Glen Moore is a Peer Specialist based in Irving, TX. Timothy Glen Moore practices in Irving, TX and has the professional credentials of PEERSUPPORTSPECIAL. The NPI Number for Timothy Glen Moore is 1033501184 and holds a License No. (Texas).

The current practice location address for Timothy Glen Moore is 3317 Finley Rd, Irving, TX and can be reached out via phone at 817-360-5364.

Location: 3317 Finley Rd, Irving, TX, 75062-8722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033501184
Provider Name
Timothy Glen Moore
Credential
PEERSUPPORTSPECIAL
Provider Entity Type
Individual
Gender
Male
Address
3317 Finley Rd, Irving, TX, 75062-8722
Phone Number
817-360-5364
Fax Number
Provider Enumeration Date
02/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3317 Finley Rd
City
Irving
State
Texas
Zip
75062-8722
Phone Number
817-360-5364
Fax Number
person
Provider Business Mailing Address Details
Address
3317 Finley Rd
City
Irving
State
Texas
Zip
75062-8722
Phone Number
817-360-5364
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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