Individual provider · Type 1 NPI
Mike Moody
Addiction (Substance Use Disorder) Counselor · Nashville, TN
NPI number
1992354120
Active
Practice location
165 Belle Forest Cir Ste A
Nashville, TN 37221-2174
Mailing address
2708 Moody Rd
Clarksville, TN 37040-7302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1302 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1992354120
Mike Moody's National Provider Identifier is 1992354120, issued on Sep 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nashville, TN. The record was last updated on Sep 10, 2019.