Provider Demographics
NPI:1922676626
Name:WOODS, ANGIE L (LMFT-A)
Entity Type:Individual
Prefix:MRS
First Name:ANGIE
Middle Name:L
Last Name:WOODS
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 MAGNOLIA BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7528
Mailing Address - Country:US
Mailing Address - Phone:803-360-5654
Mailing Address - Fax:
Practice Address - Street 1:205 MAGNOLIA BLUFF DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7528
Practice Address - Country:US
Practice Address - Phone:803-360-5654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7659106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist