Provider Demographics
NPI:1598140808
Name:MOODY, SHARI (LPC)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:MOODY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 POYDRAS ST
Mailing Address - Street 2:SUITE 1950
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3245
Mailing Address - Country:US
Mailing Address - Phone:504-322-3837
Mailing Address - Fax:504-322-3847
Practice Address - Street 1:400 POYDRAS ST
Practice Address - Street 2:SUITE 1950
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3245
Practice Address - Country:US
Practice Address - Phone:504-322-3837
Practice Address - Fax:504-322-3847
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5601101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health