Provider Demographics
NPI:1053293894
Name:WOODS, LANDON TAYLOR (LCPC)
Entity type:Individual
Prefix:
First Name:LANDON
Middle Name:TAYLOR
Last Name:WOODS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 N HAYNES AVE
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-5600
Mailing Address - Country:US
Mailing Address - Phone:601-447-4947
Mailing Address - Fax:
Practice Address - Street 1:4 N HAYNES AVE
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-5600
Practice Address - Country:US
Practice Address - Phone:601-447-4947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT78598101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health