Provider Demographics
NPI:1306253125
Name:MOORE, KULA (LPC, ATR)
Entity type:Individual
Prefix:
First Name:KULA
Middle Name:
Last Name:MOORE
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14019 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 301-327
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3563
Mailing Address - Country:US
Mailing Address - Phone:832-857-0307
Mailing Address - Fax:
Practice Address - Street 1:3414 LA BRANCH ST
Practice Address - Street 2:STUDIO 10A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-3841
Practice Address - Country:US
Practice Address - Phone:832-857-0307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69512101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional