MS. ANGELA MOODY L.C.S.W. NPI 1982001707

NPI Information

NPI: 1982001707
Provider Name: MS. ANGELA MOODY, L.C.S.W.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
208 18TH ST
SUITE 208
ROCK ISLAND, IL
ZIP 61201
Phone: (309) 799-7044
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MS. Angela Moody, L.C.S.W. is a mental health counselor in Rock Island, IL. MS. Angela Moody, L.C.S.W. NPI is 1982001707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

208 18TH ST
SUITE 208
ROCK ISLAND, IL
ZIP 61201-720
Phone: (309) 799-7044
Fax: (309) 799-7574

The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	149-005379	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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