TESSA MARIE-ANN MOODY NPI 1457999161

NPI Information

NPI: 1457999161
Provider Name: TESSA MARIE-ANN MOODY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1 ELIZABETH PL
DAYTON, OH
ZIP 45417
Phone: (800) 788-0440
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Tessa Marie-ann Moody is an addiction (substance use disorder) counselor in Dayton, OH. Tessa Marie-ann Moody NPI is 1457999161. 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:

1 ELIZABETH PL
DAYTON, OH
ZIP 45417-445
Phone: (800) 788-0440

The enumeration date for this NPI number is 12/12/2019 and was last updated on 11/10/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	175005	OHIO	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No

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: 11/14/2023

NPI Synchronization or Removal

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