Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIE D. MOODY
Active Sole ProprietorELLIE D. MOODY is a Addiction (Substance Use Disorder) Counselor healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1053881755 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · STONE MOUNTAIN, GA
Registration Details
- NPI Number
- 1053881755
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2018 (7.6975160212056 yrs)
- Last Updated
- Nov 26, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
2300 W PARK PL STE 135STONE MOUNTAIN, GA, 300873561Browse GA providers · Browse ZIP 30087
- Phone
- 6783301400
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in STONE MOUNTAIN, GA
| Name | Credential | NPI |
|---|---|---|
| STATISHA L PERRY | — | 1275003337 |
| JOI CONSTANCE RUMPH | MS | 1487204053 |
| DESIREE NICOLE COCHRAN-NORFOLK | CCS, CMAC, CAC II | 1427815521 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.