Provider Demographics
NPI:1275573834
Name:WOODS, LORRAINE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 FONT HILL DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4936
Mailing Address - Country:US
Mailing Address - Phone:410-465-0121
Mailing Address - Fax:
Practice Address - Street 1:13992 BALTIMORE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5010
Practice Address - Country:US
Practice Address - Phone:301-498-4500
Practice Address - Fax:301-498-4502
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0234101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional