Individual
LACITA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1034 S BRENTWOOD BLVD, RICHMOND HEIGHTS, MO 63117-1223
(314) 325-9758
Mailing address
1034 S BRENTWOOD BLVD, RICHMOND HEIGHTS, MO 63117-1223
(314) 325-9758
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020004395
MO
Other
Enumeration date
09/04/2019
Last updated
11/17/2025
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