Search › Illinois › 101YP2500X
Tim Moody, LPC NBCC
NPI 1740630516 · on the registry since 2016 · sole proprietor
Practice
- Address
- 840 Kirkwood Dr Apt 8
Springfield, IL 62712 - Phone
- (217) 520-9877
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois