Provider Demographics
NPI:1154781433
Name:WOOD, MERODE (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:MERODE
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:MERODE
Other - Middle Name:
Other - Last Name:WARD-LICHTERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 DOUGLAS ST STE 500
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6616
Mailing Address - Country:US
Mailing Address - Phone:919-767-0250
Mailing Address - Fax:919-797-1253
Practice Address - Street 1:615 DOUGLAS ST STE 500
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6616
Practice Address - Country:US
Practice Address - Phone:919-767-0250
Practice Address - Fax:919-797-1253
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 13698101YM0800X
NC13402101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health