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Nicole Moody, LMFT
Marriage & Family Therapist in Syracuse, New York
NPI 1457831901

Nicole Moody is a Marriage & Family Therapist based in Syracuse, NY. Nicole Moody practices in Syracuse, NY and has the professional credentials of LMFT. The NPI Number for Nicole Moody is 1457831901 and holds a License No. P12131 (New York).

The current practice location address for Nicole Moody is 620 Erie Blvd W Ste 208, Syracuse, NY and can be reached out via phone at 315-472-7363 and via fax at 315-701-2368. You can also correspond with Nicole Moody through the mailing address at 620 ERIE BLVD W STE 208, SYRACUSE, NY - 13204-2457 (mailing address contact number: 315-472-7363).

Location: 620 Erie Blvd W Ste 208, Syracuse, NY, 13204-2457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457831901
Provider Name
Nicole Moody
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
620 Erie Blvd W Ste 208, Syracuse, NY, 13204-2457
Phone Number
315-472-7363
Fax Number
315-701-2368
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336163963 05 NY
institution
Provider Business Practice Location Address Details
Address
620 Erie Blvd W Ste 208
City
Syracuse
State
New York
Zip
13204-2457
Phone Number
315-472-7363
Fax Number
315-701-2368
person
Provider Business Mailing Address Details
Address
620 Erie Blvd W Ste 208
City
Syracuse
State
New York
Zip
13204-2457
Phone Number
315-472-7363
Fax Number
315-701-2368
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
001645 (New York)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
P12131 (New York)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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