Provider Demographics
NPI:1982417275
Name:WOODS WELLNESS AND COUNSELING
Entity type:Organization
Organization Name:WOODS WELLNESS AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:DEANNA
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:662-417-9313
Mailing Address - Street 1:81 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38901-2610
Mailing Address - Country:US
Mailing Address - Phone:662-417-9313
Mailing Address - Fax:
Practice Address - Street 1:81 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-2610
Practice Address - Country:US
Practice Address - Phone:662-417-9313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOODS WELLNESS AND COUNSELING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty