Individual
SARAH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 21806, CHARLESTON, SC 29413-1806
(706) 254-0030
Mailing address
12102 PARKVIEW LN, SUMMERVILLE, SC 29486-5717
(843) 513-4759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10534
SC
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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