Doctor Name: | ELIZABETH T WOOD |
NPI Number: | 1154589224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC003937 |
Business Practice Address: | 325b N Cobb St Milledgeville, GA - 310612683 |
Business Phone Number: | 4784515205 |
Business Fax Number: | 4784515024 |
Mailing Address: | Po Box 673, MILLEDGEVILLE |
State: | GA |
Postal Code: | 310590673 |
Phone Number: | 4784515205 |
Fax Number: | 4784515024 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC003937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |