Provider Demographics
NPI:1184342602
Name:ELLEN JOINER-WOODARD, LCSW, PC
Entity type:Organization
Organization Name:ELLEN JOINER-WOODARD, LCSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:JOINER-WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:229-563-6754
Mailing Address - Street 1:8655 MORVEN RD
Mailing Address - Street 2:
Mailing Address - City:HAHIRA
Mailing Address - State:GA
Mailing Address - Zip Code:31632-2277
Mailing Address - Country:US
Mailing Address - Phone:229-563-6754
Mailing Address - Fax:
Practice Address - Street 1:2914 N OAK ST
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1718
Practice Address - Country:US
Practice Address - Phone:229-333-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty