Provider Demographics
NPI:1255429650
Name:WOODS, ELIZABETH MICHELLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MICHELLE
Last Name:WOODS
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Gender:F
Credentials:LMSW
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2087
Mailing Address - Street 2:141 SUNSET LOOP
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38902-2087
Mailing Address - Country:US
Mailing Address - Phone:662-307-2584
Mailing Address - Fax:662-307-2666
Practice Address - Street 1:141 SUNSET LOOP
Practice Address - Street 2:AGAPE ADULT DAY SERVICES AND RECREATIONAL CENTER, LLC
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-4429
Practice Address - Country:US
Practice Address - Phone:662-307-2584
Practice Address - Fax:662-307-2666
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2015-06-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical