Provider Demographics
NPI:1629755541
Name:COURTNEY WOOD, LICSW LLC COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:COURTNEY WOOD, LICSW LLC COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:W
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:205-541-8434
Mailing Address - Street 1:5300 8TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-4115
Mailing Address - Country:US
Mailing Address - Phone:205-541-8434
Mailing Address - Fax:
Practice Address - Street 1:1957 HOOVER CT STE 218
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-3618
Practice Address - Country:US
Practice Address - Phone:205-541-8434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health