Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Moody

Individual provider Peer Specialist · NPI 1164211504

Keith Moody is a Peer Specialist in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

3214 Prospect Ave E
Cleveland, OH 44115-2614
Phone: (216) 910-9015
Fax: (216) 910-9015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.006313 (OH)

Record details

NPI number1164211504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

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