Provider Demographics
NPI:1497426605
Name:WOOD, LAURA (MC, NCC, LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:MC, NCC, LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:OLIVIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MC, NCC, LPC
Mailing Address - Street 1:1600 W CHANDLER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6100
Mailing Address - Country:US
Mailing Address - Phone:480-427-0122
Mailing Address - Fax:
Practice Address - Street 1:1600 W CHANDLER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6100
Practice Address - Country:US
Practice Address - Phone:480-427-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-21246101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty