SADATREYA TANESHA MOULTRIE LPC
NPI 1316665938
Counselor - Professional in West Columbia, SC

Active since August 19, 2022
560 CHRIS DR, WEST COLUMBIA, SC 29169(803) 791-9422(803) 828-9647 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2025, Mar 5, 2025, Aug 19, 2022 (3 updates tracked since 2022).

About Sadatreya Tanesha Moultrie Lpc NPPES

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

SADATREYA TANESHA MOULTRIE LPC (NPI 1316665938) is an individual professional provider in West Columbia, South Carolina, licensed in South Carolina (9479) and active in the NPI registry since August 2022. She maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1316665938
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSADATREYA TANESHA MOULTRIECredential: LPC
Location Address560 CHRIS DRWest Columbia, SC 29169-4669
Mailing Address560 Chris DrWest Columbia, SC 29169-4669 · (080) 379-1942 · Fax (803) 828-9647
Fax(803) 828-9647
Sole ProprietorYes
Enumeration DateAugust 19, 2022
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1316665938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 9479
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 9479 (SC)
560 CHRIS DR, West Columbia, SC 29169

Secondary Practice Location 1

Location 1PO Box 748465Atlanta, GA 30374-8465 · Phone (855) 284-7483 · Fax (617) 807-0958

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Methadone)
560 CHRIS DR
WEST COLUMBIA, SC 29169

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 Sadatreya Moultrie's NPI number?

The NPI number for Sadatreya Moultrie is 1316665938. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Sadatreya Moultrie located?

Sadatreya Moultrie practices at 560 Chris Dr, West Columbia, SC 29169. The listed phone number is (803) 791-9422.

What is Sadatreya Moultrie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Sadatreya Moultrie accept?

Health plans from UnitedHealthcare list Sadatreya Moultrie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sadatreya Moultrie was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.