Individual
SAMANTHA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
1758 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4012
(678) 559-1400
Mailing address
1758 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4012
(678) 559-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013830
GA
101YM0800X
Mental Health Counselor
MH21771
FL
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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