Doctor Name: | MS. ELIZABETH MICHELLE WOODS |
NPI Number: | 1255429650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | |
Business Practice Address: | 141 Sunset Loop Agape Adult Day Services And Recreational Center, Llc Grenada, MS - 389014429 |
Business Phone Number: | 6623072584 |
Business Fax Number: | 6623072666 |
Mailing Address: | Po Box 2087, 141 Sunset Loop GRENADA |
State: | MS |
Postal Code: | 389022087 |
Phone Number: | 6623072584 |
Fax Number: | 6623072666 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |