| Doctor Name: | TIFFANY GRACE-MOODY |
| NPI Number: | 1326212119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 2013011224 |
| Business Practice Address: | 152 North Fm 1626 Bldg. 1b Buda, TX - 78610 |
| Business Phone Number: | 9728326454 |
| Business Fax Number: | |
| Mailing Address: | 251 North Fm 1626, Bldg. 1b BUDA |
| State: | TX |
| Postal Code: | 78610 |
| Phone Number: | 9728326454 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2013011224 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |