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Individual

ASEANDA LEANE MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1451 RETAIL ROW, HARTSVILLE, SC 29550-4258
(877) 654-6396
Mailing address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/23/2021
Last updated
06/05/2026
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