MEDICARE: BRITTNEY MOODY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		OH

General Provider Information

NPI Number	:	1326971169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY MOODY

Provider Business Mailing Address
First Line	:	2178 RANKIN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-2347
Country	:	US
Telephone Number	:	614-893-8289
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 SHANLEY DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2062
Country	:	US
Telephone Number	:	614-516-9832
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ BRITTNEY MOODY ” Practice Location

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