| Doctor Name: | SHANDA WOODY |
| NPI Number: | 1063799468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S.Q.P. |
| License Number: | A12121 |
| Business Practice Address: | 617 S Green St Suite300 Morganton, NC - 286553517 |
| Business Phone Number: | 8284373000 |
| Business Fax Number: | 8284374999 |
| Mailing Address: | 617 S Green St, Suite300 MORGANTON |
| State: | NC |
| Postal Code: | 286553517 |
| Phone Number: | 8284373000 |
| Fax Number: | 8284374999 |
| NPI Enumeration Date: | 11/14/2011 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A12121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |