Organization Name: | TONI L. WOOD LPC PC |
NPI Number: | 1154516540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONI L. WOOD (OWNER/CEO) |
Mailing Address: | 1106 Santa Fe Trl Suite #3 Duncanville |
State: | TX US |
Postal Code: | 751373063 |
Phone Number: | 2146959341 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 13074 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |