Provider Demographics
NPI:1962272302
Name:WOODS, JOSEPH LEROY II
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LEROY
Last Name:WOODS
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5431 CAMERON ELLIS DR APT 105
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-9014
Mailing Address - Country:US
Mailing Address - Phone:614-359-1799
Mailing Address - Fax:
Practice Address - Street 1:5431 CAMERON ELLIS DR APT 105
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-9014
Practice Address - Country:US
Practice Address - Phone:614-359-1799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X, 101YP1600X, 101YP2500X, 103K00000X, 106H00000X, 171400000X, 171W00000X, 172V00000X, 1744G0900X, 222Q00000X, 251E00000X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach
No171W00000XOther Service ProvidersContractor
No172V00000XOther Service ProvidersCommunity Health Worker
No1744G0900XOther Service ProvidersSpecialistGraphics DesignerGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist