Provider Demographics
NPI:1932522661
Name:MOORE, MARGARET (LMFT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MOORE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8310 S VALLEY HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5815
Mailing Address - Country:US
Mailing Address - Phone:310-463-4989
Mailing Address - Fax:
Practice Address - Street 1:8310 S VALLEY HWY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5812
Practice Address - Country:US
Practice Address - Phone:310-463-4989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78357106H00000X
CO1142106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist