Provider Demographics
NPI:1407415094
Name:WOODS, PARKER ALLEN (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:PARKER
Middle Name:ALLEN
Last Name:WOODS
Suffix:
Gender:M
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 169
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:AL
Mailing Address - Zip Code:35580-0169
Mailing Address - Country:US
Mailing Address - Phone:205-686-5113
Mailing Address - Fax:205-265-2994
Practice Address - Street 1:153 3RD AVENUE
Practice Address - Street 2:
Practice Address - City:NAUVOO
Practice Address - State:AL
Practice Address - Zip Code:35578-3238
Practice Address - Country:US
Practice Address - Phone:205-724-9059
Practice Address - Fax:205-697-5182
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4504G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker