Individual provider · Type 1 NPI

Nicole Moody, LMFT

Marriage & Family Therapist · Syracuse, NY

NPI number 1457831901 Active

Practice location

620 Erie Blvd W Ste 208
Syracuse, NY 13204-2457

Call (315) 472-7363 Map

Fax (315) 701-2368

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XP12131 (NY)
Marriage & Family Therapist Primary 106H00000X001645 (NY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1457831901

Nicole Moody, LMFT's National Provider Identifier is 1457831901, issued on Aug 15, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Syracuse, NY. The record was last updated on Feb 6, 2020.