Moody, Melissa

Moody, Melissa is an individual health care provider with primary practice located at 707 W Milwaukee St , Detroit MI 48202-2943. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Moody, Melissa can be contacted via phone (313) 410-4992.

Contact Information

Primary practice address
707 W Milwaukee St Detroit MI 48202-2943
Phone: (313) 410-4992
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6301009289 Michigan
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6361003906 Michigan

Profile Details

NPI number 1013246156
LBN Legal business name Moody, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2009
Last updated Nov 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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