Provider Demographics
NPI:1528230174
Name:HARRIS-WOODARD, JOY (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:
Last Name:HARRIS-WOODARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6171 BERT KOUNS LOOP
Mailing Address - Street 2:D105
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-5061
Mailing Address - Country:US
Mailing Address - Phone:318-686-0276
Mailing Address - Fax:318-687-5956
Practice Address - Street 1:6171 BERT KOUNS LOOP
Practice Address - Street 2:D105
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-5061
Practice Address - Country:US
Practice Address - Phone:318-686-0276
Practice Address - Fax:318-687-5956
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional