ELLIE D. MOODY
NPI 1053881755
Counselor - Addiction (Substance Use Disorder) in Stone Mountain, GA

Q: What is Ellie Moody's NPI number?

The NPI number for Ellie Moody is 1053881755. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Q: What is Ellie Moody's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Ellie Moody was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 26, 2018

2300 W PARK PL STE 135, STONE MOUNTAIN, GA 30087(678) 330-1400 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ellie D. Moody NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE D. MOODY (NPI 1053881755) is an individual addiction (substance use disorder) provider in Stone Mountain, Georgia and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1053881755

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameELLIE D. MOODY

Location Address2300 W PARK PL STE 135Stone Mountain, GA 30087-3561

Mailing Address215 Wisteria DrOxford, GA 30054-4040 · (678) 360-0488

Phone(678) 330-1400

Sole ProprietorYes

Enumeration DateNovember 26, 2018

✔ NPI 1053881755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

2300 W PARK PL STE 135, Stone Mountain, GA 30087

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RODNEY MALLORY

Counselor

2300 W PARK PL STE 135
STONE MOUNTAIN, GA 30087

Dekalb County (678) 330-1400

MS. TIFFANY M JAMES

Counselor (Mental Health)

2300 W PARK PL STE 135
STONE MOUNTAIN, GA 30087

Dekalb County (678) 330-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellie Moody's NPI number?

The NPI number for Ellie Moody is 1053881755. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Ellie Moody located?

Ellie Moody practices at 2300 W Park Pl Ste 135, Stone Mountain, GA 30087. The listed phone number is (678) 330-1400.

What is Ellie Moody's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ellie Moody was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.