Moody, Cynthia M

Moody, Cynthia M is an individual health care provider with primary practice located at 2805 Fountain Plaza Blvd , Edinburg TX 78539-8031. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Moody, Cynthia M can be contacted via phone (956) 316-2224.

Contact Information

Primary practice address
2805 Fountain Plaza Blvd Edinburg TX 78539-8031
Phone: (956) 316-2224
Fax: (956) 316-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 17286 Texas

Profile Details

NPI number 1306084769
LBN Legal business name Moody, Cynthia M
Credentials LBSW, JP, IPR
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2009
Last updated Sep 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306084769 NPPES
Texas MEDICAID 1988032

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