Provider Demographics
NPI:1013507938
Name:JENNIFER WOOD LMHC LLC
Entity Type:Organization
Organization Name:JENNIFER WOOD LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUPLE/FAMILY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:F
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-267-1731
Mailing Address - Street 1:100 CORPORATE PL STE 103
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3891
Mailing Address - Country:US
Mailing Address - Phone:978-286-1731
Mailing Address - Fax:
Practice Address - Street 1:100 CORPORATE PL STE 103
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-3891
Practice Address - Country:US
Practice Address - Phone:978-286-1731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty