Provider Demographics
NPI:1407166978
Name:WOODS, TAUNYA D (LCPC)
Entity Type:Individual
Prefix:
First Name:TAUNYA
Middle Name:D
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 1:19624 GOVERNORS HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2086
Mailing Address - Country:US
Mailing Address - Phone:708-701-6098
Mailing Address - Fax:708-701-6098
Practice Address - Street 1:19624 GOVERNORS HWY STE 1
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2086
Practice Address - Country:US
Practice Address - Phone:708-701-6098
Practice Address - Fax:708-701-6098
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.003370101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional