Individual
TALISHA CARTER-MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
402 OSIGIAN BLVD STE 400, WARNER ROBINS, GA 31088-8992
(478) 333-3058
Mailing address
105 COLLEGE CT, FORT VALLEY, GA 31030-4402
(478) 721-7095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0009461
GA
101YM0800X
Mental Health Counselor
Primary
LPC0009461
GA
Other
Enumeration date
11/26/2018
Last updated
03/03/2026
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