SHAMARA MOODY LPC, DCC
NPI 1316449572
Counselor - Professional in Stockbridge, GA
Active since March 05, 2018
About Shamara Moody Lpc, Dcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAMARA MOODY LPC, DCC (NPI 1316449572) is an individual professional provider in Stockbridge, Georgia, licensed in Georgia (LPC009502) and active in the NPI registry since March 2018.
NPPES Registry Identity
NPI1316449572
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHAMARA MOODYCredential: LPC, DCC
Location Address245 COUNTRY CLUB DR BLDG 100DStockbridge, GA 30281-7216
Mailing Address250 Georgia Ave E Unit 1854Fayetteville, GA 30214-5519 · (404) 408-7483
Phone(404) 408-7483
Sole ProprietorYes
Enumeration DateMarch 5, 2018
✔ NPI 1316449572 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC009502
245 COUNTRY CLUB DR BLDG 100D, Stockbridge, GA 30281
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316449572, enumerated as an "individual" on March 05, 2018.
The provider is located at 245 COUNTRY CLUB DR BLDG 100D STOCKBRIDGE, GA 30281 and the phone number is (404) 408-7483.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
