Provider Demographics
NPI:1295629814
Name:WOODLAND, BRENDA
Entity type:Individual
Prefix:MISS
First Name:BRENDA
Middle Name:
Last Name:WOODLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3368 6TH ST SE APT 201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3828
Mailing Address - Country:US
Mailing Address - Phone:202-702-8663
Mailing Address - Fax:
Practice Address - Street 1:3368 6TH ST SE APT 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3828
Practice Address - Country:US
Practice Address - Phone:202-702-8663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health