Doctor Name: | MS. WENDIE WREN WOODS |
NPI Number: | 1194809855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 696 |
Business Practice Address: | 309 E Lampkin St Starkville, MS - 397592909 |
Business Phone Number: | 6623381880 |
Business Fax Number: | 6623381880 |
Mailing Address: | 18 Lakes Blvd, STARKVILLE |
State: | MS |
Postal Code: | 397593157 |
Phone Number: | 6626172686 |
Fax Number: | 6623381880 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |