Move Functional Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOVE FUNCTIONAL WELLNESS LLC

Practice address

1725 Main St # 2
Houston, TX 77002-8142

Phone

(832) 349-0210

NPI assigned

Apr 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latania Booker, MD

Title

Owner

Phone

(832) 349-0210

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1831778927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MAIN ST # 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MAIN ST # 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028142",
            "telephone_number": "832-349-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE FUNCTIONAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "LATANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-349-0210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Mouton, CRNA
• Sharonda Renee Mouton, LCSW
• Isabel Moutoux
• Stefanie Dunham Mouzannar, CRNA
• Melanie Ehni Mouzoon, MD
• Moving by Faith Medical Transportation
• Moving Forward
• Moving Forward Holistic Wellness
• Moving in Excellence Behavioral Health Services
• Michelle Kay Mowad, M.D.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.