Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellie D. Moody

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053881755

Ellie D. Moody is an Addiction (Substance Use Disorder) Counselor in Stone Mountain, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2300 W Park Pl Ste 135
Stone Mountain, GA 30087-3561
Phone: (678) 330-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1053881755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 26, 2018
Last updated in NPPESNovember 26, 2018

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