Individual provider · Type 1 NPI

Madisen Brooke Moody, LPC

Mental Health Counselor · Fairfax, VA

NPI number 1194448555 Active

Practice location

3060 Williams Dr Ste 105
Fairfax, VA 22031-4669

Call (571) 587-3941 Map

Fax (301) 970-4002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704015161 (VA)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1194448555

Madisen Brooke Moody, LPC's National Provider Identifier is 1194448555, issued on Sep 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Jul 13, 2026.