Provider Demographics
NPI:1477978229
Name:WOOD, ANGELA (LMHC, ATR)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:WERFELMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, ATR
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:MS/ O.A.5154
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:99105
Mailing Address - Country:US
Mailing Address - Phone:206-987-6155
Mailing Address - Fax:206-987-2246
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:MS/ O.A.5154
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-6155
Practice Address - Fax:206-987-2246
Is Sole Proprietor?:No
Enumeration Date:2014-03-03
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60446415101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health