Moody, Susan W
Moody, Susan W is an sole proprietor health care provider with primary practice located at 700 E Firmin St Ste 206 , Kokomo IN 46902-2375. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moody, Susan W can be contacted via phone (765) 461-3033.Contact Information
Primary practice address
700 E Firmin St Ste 206
Kokomo IN 46902-2375
Phone: (765) 461-3033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34005092A | Indiana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87000247A | Indiana |
Profile Details
| NPI number | 1730299413 |
|---|---|
| LBN Legal business name | Moody, Susan W |
| Credentials | LCSW, LCAC, RPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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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