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General NPI Number Information
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NPI Number | 1801786371
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Entity Type | Organization
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Legal Business Name | ASHLEY K. MOODY, MARRIAGE AND FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 74399 HIGHWAY 111 STE D
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City | PALM DESERT
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State | CA
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Zip | 92260-4128
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Country | US
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Telephone | 760-596-9369
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Fax |
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Provider Business Mailing Address
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Address Line | 44489 TOWN CENTER WAY STE D1017
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City | PALM DESERT
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State | CA
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Zip | 92260-2723
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Country | US
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Telephone | 760-596-9369
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ASHLEY K MOODY
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Credential | MA, LMFT
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Telephone | 760-596-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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