Provider Demographics
NPI:1235278607
Name:WOODS, MARKESHA L (MS)
Entity Type:Individual
Prefix:MISS
First Name:MARKESHA
Middle Name:L
Last Name:WOODS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 SPANIEL CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-0903
Mailing Address - Country:US
Mailing Address - Phone:901-240-7369
Mailing Address - Fax:
Practice Address - Street 1:123 PLEASE CONTACT
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141
Practice Address - Country:US
Practice Address - Phone:901-240-7369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health