Provider Demographics
NPI:1922435361
Name:WOODS, AISHA L (LPC)
Entity Type:Individual
Prefix:DR
First Name:AISHA
Middle Name:L
Last Name:WOODS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AISHA
Other - Middle Name:W
Other - Last Name:ZARB-COUSIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AISHA W ZARB-COUSIN
Mailing Address - Street 1:6419 VISTA BUTTE
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2756
Mailing Address - Country:US
Mailing Address - Phone:210-865-6247
Mailing Address - Fax:
Practice Address - Street 1:5020 OLD SEGUIN RD STE 1A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78219-1085
Practice Address - Country:US
Practice Address - Phone:210-845-3354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68399101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX325718001Medicaid