Individual
GEORGE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED LPC
Contact information
Practice address
302 TURNER RD STE D, NORTH CHESTERFIELD, VA 23225-6433
(804) 901-6806
Mailing address
1941 DAFFODIL MEADOW LN, RICHMOND, VA 23231-5332
(804) 901-6806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701015555
VA
Other
Enumeration date
07/25/2024
Last updated
04/10/2026
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