Provider Demographics
NPI:1811215551
Name:WOODS, TAMEKA LASHUN (LMFT)
Entity Type:Individual
Prefix:
First Name:TAMEKA
Middle Name:LASHUN
Last Name:WOODS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3089 SAN JOSE DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-4511
Mailing Address - Country:US
Mailing Address - Phone:678-613-7636
Mailing Address - Fax:
Practice Address - Street 1:2810 W CHARLESTON BLVD STE 70
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1993
Practice Address - Country:US
Practice Address - Phone:925-231-4325
Practice Address - Fax:480-546-3134
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001134106H00000X
NV4196-R106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist