Provider Demographics
NPI:1710391982
Name:WOODRUFF, AMY E (LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:WOODRUFF
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 1:3501 SEVERN AVE
Mailing Address - Street 2:SUITE 20H
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3451
Mailing Address - Country:US
Mailing Address - Phone:504-491-1191
Mailing Address - Fax:
Practice Address - Street 1:3501 SEVERN AVE
Practice Address - Street 2:SUITE 20H
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3451
Practice Address - Country:US
Practice Address - Phone:504-491-1191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5100101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health