Individual provider · Type 1 NPI

Theresa Lashonda Lucie Moody, LPC-INTERN

Mental Health Counselor · Dallas, TX

NPI number 1447858378 Active

Practice location

3653 Briargrove Ln Apt 1036
Dallas, TX 75287-6155

Call (616) 862-4914 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X78443 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1447858378

Theresa Lashonda Lucie Moody, LPC-INTERN's National Provider Identifier is 1447858378, issued on Oct 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Oct 13, 2020.