Individual
SADATREYA TANESHA MOULTRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
560 CHRIS DR, WEST COLUMBIA, SC 29169-4669
(803) 791-9422
(803) 828-9647
Mailing address
560 CHRIS DR, WEST COLUMBIA, SC 29169-4669
(080) 379-1942
(803) 828-9647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9479
SC
101YP2500X
Professional Counselor
Primary
9479
SC
Other
Enumeration date
08/19/2022
Last updated
10/01/2025
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