Provider Demographics
NPI:1942895263
Name:MOODY, APRIL WATKINS (LPC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:WATKINS
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 1:791 N HIGHWAY 77 STE 501C
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1985
Mailing Address - Country:US
Mailing Address - Phone:972-559-9448
Mailing Address - Fax:
Practice Address - Street 1:791 N HIGHWAY 77 STE 501C
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1985
Practice Address - Country:US
Practice Address - Phone:972-559-9448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79362101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty