Individual
ANTHONY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
274 SOUTHLAND DR STE 204, LEXINGTON, KY 40503-1946
(859) 274-3456
Mailing address
3272 ALCOTT PL, LEXINGTON, KY 40509-7804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
288371
KY
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/20/2026
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