Provider Demographics
NPI:1184956591
Name:WOODMANCY, VIRGINIA BEATRIZ (MS, LMFT, CDC II)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:BEATRIZ
Last Name:WOODMANCY
Suffix:
Gender:F
Credentials:MS, LMFT, CDC II
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:BRATRIZ
Other - Last Name:RHODES-WOODMANCY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT, CDC II
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:ANIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99557-0354
Mailing Address - Country:US
Mailing Address - Phone:907-675-4633
Mailing Address - Fax:907-675-4633
Practice Address - Street 1:3 SLOUGH VIEW DRIVE
Practice Address - Street 2:
Practice Address - City:ANIAK
Practice Address - State:AK
Practice Address - Zip Code:99557-0354
Practice Address - Country:US
Practice Address - Phone:907-675-4633
Practice Address - Fax:907-675-4633
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK727204106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist