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

Individual provider Professional Counselor · NPI 1174400923

Mariselda Garcia Moreno is an Undefined Non-Physician Type (Specify) in Victoria, Texas. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

418 Dove
Victoria, TX 77905-0551
Phone: (361) 945-2523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 94289 (TX)

Record details

NPI number1174400923
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Victoria