Provider Demographics
NPI:1073900510
Name:P WOODROFFE LLC
Entity Type:Organization
Organization Name:P WOODROFFE LLC
Other - Org Name:WOODROFFE COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:WOODROFFE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:206-769-1885
Mailing Address - Street 1:11727 CORLISS AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8536
Mailing Address - Country:US
Mailing Address - Phone:206-769-1885
Mailing Address - Fax:
Practice Address - Street 1:11727 CORLISS AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8536
Practice Address - Country:US
Practice Address - Phone:206-769-1885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6034964971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty