ANTONEAL MOODY MS ST
NPI 1396638649
Counselor - Addiction (Substance Use Disorder) in Augusta, GA

Active since June 03, 2025
2357 TOBACCO RD, AUGUSTA, GA 30906(706) 722-3855 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antoneal Moody Ms St NPPES

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

ANTONEAL MOODY MS ST (NPI 1396638649) is an individual addiction (substance use disorder) provider in Augusta, Georgia and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1396638649
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANTONEAL MOODYCredential: MS ST
Location Address2357 TOBACCO RDAugusta, GA 30906-9220
Mailing Address300 Caldwell Dr Apt FHephzibah, GA 30815-6356 · (912) 512-0551 · Fax (912) 512-0551
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
NPI 1396638649 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
2357 TOBACCO RD, Augusta, GA 30906

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
2357 TOBACCO RD
AUGUSTA, GA 30906
Counselor (Addiction (Substance Use Disorder))
2357 TOBACCO RD
AUGUSTA, GA 30906
Counselor (Addiction (Substance Use Disorder))
2357 TOBACCO RD
AUGUSTA, GA 30906
Counselor (Addiction (Substance Use Disorder))
2357 TOBACCO RD
AUGUSTA, GA 30906
Clinic/Center (Methadone)
2357 TOBACCO RD
AUGUSTA, GA 30906
Counselor (Addiction (Substance Use Disorder))
2357 TOBACCO RD
AUGUSTA, GA 30906
Counselor (Addiction (Substance Use Disorder))
2357 TOBACCO RD
AUGUSTA, GA 30906
Counselor (Addiction (Substance Use Disorder))
2357 TOBACCO RD
AUGUSTA, GA 30906

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 Antoneal Moody's NPI number?

The NPI number for Antoneal Moody is 1396638649. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Antoneal Moody located?

Antoneal Moody practices at 2357 Tobacco Rd, Augusta, GA 30906. The listed phone number is (706) 722-3855.

What is Antoneal 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 Antoneal Moody was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.