Department of Mental Health

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

DEPARTMENT OF MENTAL HEALTH

Practice address

2414 Bull St
Columbia, SC 29201-1906

Phone

(803) 898-8581

NPI assigned

Dec 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sadatreya Tanesha MoultrieNPI 1316665938

Title

Transition Specialist

Phone

(912) 536-6454

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sadatreya Tanesha Moultrie, LPC

  • Professional Counselor
  • West Columbia, SC
  • NPI 1316665938
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1487291506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CORAL ROSE DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637503",
            "telephone_number": "912-536-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BULL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011906",
            "telephone_number": "803-898-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "MOULTRIE",
        "authorized_official_first_name": "SADATREYA",
        "authorized_official_middle_name": "TANESHA",
        "authorized_official_title_or_position": "TRANSITION SPECIALIST",
        "authorized_official_telephone_number": "912-536-6454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sadatreyam@yahoo.com",
            "affiliation": "N",
            "address_1": "2414 Bull St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292011906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Department of Health and Environmental Control
• Department of Internal Medicine
• Department of Internal Medicine
• Department of Juvenile Justice
• Department of Juvenile Justice
• Department of Veteran Affairs
• Karen E Depass-Jones, PHARM D
• Dependable Home Care LLC
• Jack Legrand Depriest, MD
• Michelle Marie Deranieri, FNP

• Lodging Provider in Columbia, SC
• Providers in Columbia, SC by specialty
• Lodging Provider in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.