Provider Demographics
NPI:1972874097
Name:WOODS, MARIAN ANNETTE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:ANNETTE
Last Name:WOODS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 CASTELLO DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8903
Mailing Address - Country:US
Mailing Address - Phone:239-216-1955
Mailing Address - Fax:239-435-7893
Practice Address - Street 1:5185 CASTELLO DR
Practice Address - Street 2:SUITE 3
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8903
Practice Address - Country:US
Practice Address - Phone:239-216-1955
Practice Address - Fax:239-435-7893
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health