Provider Demographics
NPI:1124471701
Name:WOODS, MEGAN M (MS, CCTP, CNC, LMHC)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:M
Last Name:WOODS
Suffix:
Gender:F
Credentials:MS, CCTP, CNC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W PLYMOUTH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-2745
Mailing Address - Country:US
Mailing Address - Phone:407-480-9469
Mailing Address - Fax:386-280-1953
Practice Address - Street 1:10423 RAINIER RIDGE BLVD E APT D104
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-8048
Practice Address - Country:US
Practice Address - Phone:407-480-9469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator