THERESA LASHONDA LUCIE MOODY


Address: 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155
Phone: 6168624914

THERESA LASHONDA LUCIE MOODY (NPI# 1447858378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447858378
Entity Type Individual
Full Name THERESA LASHONDA LUCIE MOODY
Credential LPC-INTERN
Practice Address 3653 Briargrove Ln Apt 1036
Dallas
TX 75287-6155
Practice Telephone 6168624914
Mailing Telephone 6168624914
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
78443 TX Behavioral Health & Social Service Providers

Office Location

Street Address 3653 BRIARGROVE LN APT 1036
City DALLAS
State TX
Zip Code 75287-6155

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1003288259 Hamid Reza Pirnajmedin Specialist/Technologist, Other 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 2015-10-28
1013307313 Kaelee Rae Kail Occupational Therapist 17480 Dallas Pkwy # 400, Dallas, TX 75287 2015-01-26
1568875318 Nicole Carvacho Physical Therapist 17480 North Dallas Tollway, Addison, TX 75287 2014-06-10
1326451873 Holly Davis Speech-Language Pathologist 17480 North Dallas Parkway, Suite 221, Dallas, TX 75287 2014-06-03
1033520077 Tammy Duran Non-emergency Medical Transport (VAN) 3653 Briargrove Lane, 1513, Dallas, TX 75287 2014-05-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396313 On Epiphany Lane, LLC Counselor 603 Munger Ave Ste 100, Dallas, TX 75202-1840 2020-11-02
1487253951 Shanler Leigh Hoover Counselor 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 2020-10-25
1316546385 Paola Guadalupe Garcia Counselor 8338 Midland Ln, Dallas, TX 75217-8850 2020-10-21
1609473693 Donna Smith Counselor 3766 Seguin Dr, Dallas, TX 75220-6329 2020-10-03
1659978849 Brian Williams Counselor 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 2020-10-01
1285241349 Nichole Gabrielle Brown Counselor 5045 Thunder Rd, Dallas, TX 75244-6546 2020-09-23
1366058588 Vicki Smith-lockhart Counselor 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 2020-09-22
1881206928 Angela Grace Leach Counselor 6511 Walnut Hill Ln, Dallas, TX 75230-5318 2020-08-19
1093324055 Alita Rose Andrews Counselor 3905 Highgrove Dr, Dallas, TX 75220-3753 2020-07-27
1619586732 Mindy Ward Counselor 4925 Greenville Ave Ste 200, Dallas, TX 75206-0500 2020-07-24
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Competitor

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City DALLAS
Zip Code 75287

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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