Moody, Phyllis M.
Moody, Phyllis M. is an individual health care provider with primary practice located at 104 New Stateside Dr , Chapel Hill NC 27516-1165. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moody, Phyllis M. can be contacted via phone (919) 942-2803.Contact Information
Primary practice address
104 New Stateside Dr
Chapel Hill NC 27516-1165
Phone: (919) 942-2803
Fax: (919) 942-2126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1114291747 |
|---|---|
| LBN Legal business name | Moody, Phyllis M. |
| Credentials | LCAS-P |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 29th, 2012 |
| Last updated | Mar 27th, 2012 - about 14 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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