Provider Demographics
NPI:1548615867
Name:MODY, ANDRIA
Entity type:Individual
Prefix:
First Name:ANDRIA
Middle Name:
Last Name:MODY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 N LOGAN ST
Mailing Address - Street 2:STE 660 PMB 185121
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1994
Mailing Address - Country:US
Mailing Address - Phone:720-507-1865
Mailing Address - Fax:
Practice Address - Street 1:1256 S JOLIET CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4291
Practice Address - Country:US
Practice Address - Phone:720-507-1865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor