Individual provider · Type 1 NPI

Aseanda Leane Moody, MA

Addiction (Substance Use Disorder) Counselor · Hartsville, SC

NPI number 1407516982 Active

Practice location

1451 Retail Row
Hartsville, SC 29550-4258

Mailing address

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407516982

Aseanda Leane Moody, MA's National Provider Identifier is 1407516982, issued on Dec 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hartsville, SC. The record was last updated on Jun 5, 2026.