Provider Demographics
NPI:1487437737
Name:WOODLEY, TAMECA L
Entity type:Individual
Prefix:MS
First Name:TAMECA
Middle Name:L
Last Name:WOODLEY
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 1:1520 WATKIN DR
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-2732
Mailing Address - Country:US
Mailing Address - Phone:434-430-1838
Mailing Address - Fax:
Practice Address - Street 1:490 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-6124
Practice Address - Country:US
Practice Address - Phone:434-430-1838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor