MIKE MOODY

NASHVILLE, TN
NPI1992354120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN  1302)
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
MIKE MOODY
165 BELLE FOREST CIR STE A
NASHVILLE, TN 37221-2174
Phone number: 615-852-5272
Mailing Address
MIKE MOODY
2708 MOODY RD
CLARKSVILLE, TN 37040-7302
Phone number: 615-982-9232
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