Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charleszetta Moore, QMHP

Individual provider Case Manager/Care Coordinator · NPI 1487361341

Charleszetta Moore, QMHP is a Case Manager/Care Coordinator in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
Specialties on file
6
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Practice location Address checks out

4409 Disraeli Dr Apt 5101
Fort Worth, TX 76119-5851
Phone: (817) 585-0664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X (TX)
Case Manager/Care Coordinator Taxonomy 171M00000X (TX)
Contractor Taxonomy 171W00000X (TX)
Community Health Worker Taxonomy 172V00000X (TX)
Adult Companion Taxonomy 372600000X (TX)
Day Training/Habilitation Specialist Taxonomy 373H00000X (TX)

Record details

NPI number1487361341
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHP
Sole proprietorYes
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address5125 Wichita St Unit 15407, Fort Worth, TX 76119-2501

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