Provider Demographics
NPI:1205996451
Name:WOODS, EDWARD G (LCSW)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:G
Last Name:WOODS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WOODFIN PLACE
Mailing Address - Street 2:SUITE 232
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2463
Mailing Address - Country:US
Mailing Address - Phone:828-253-7066
Mailing Address - Fax:828-253-0335
Practice Address - Street 1:70 WOODFIN PL
Practice Address - Street 2:SUITE 232
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2463
Practice Address - Country:US
Practice Address - Phone:828-253-7066
Practice Address - Fax:828-253-0335
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-011-060101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC88986OtherBLUE CROSS PROVIDER NUMBE