| Doctor Name: | TAMMY L. WOODYARD-POWELL |
| NPI Number: | 1063707131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC |
| License Number: | E-1000046 |
| Business Practice Address: | 50 Greenwood Ln Springboro, OH - 450663033 |
| Business Phone Number: | 9377461154 |
| Business Fax Number: | 9377468523 |
| Mailing Address: | 975 Kingsview Drive, Suite 400 LEBANON |
| State: | OH |
| Postal Code: | 45036 |
| Phone Number: | 5132287854 |
| Fax Number: | 5132287848 |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E-1000046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |