Moody, James H.

Moody, James H. is an individual health care provider with primary practice located at 201 Sigma Dr Ste 300 , Summerville SC 29486-7722. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Moody, James H. can be contacted via phone (800) 552-4357.

Contact Information

Primary practice address
201 Sigma Dr Ste 300 Summerville SC 29486-7722
Fax: (678) 388-9244
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8103 South Carolina

Profile Details

NPI number 1588965511
LBN Legal business name Moody, James H.
Credentials LPCS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2010
Last updated Apr 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588965511 NPPES
South Carolina MEDICAID PC1461

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