Provider Demographics
NPI:1700330016
Name:WOODS, LORIE (BS)
Entity Type:Individual
Prefix:
First Name:LORIE
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19600 N 12TH ST
Mailing Address - Street 2:APT 1303
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8213
Mailing Address - Country:US
Mailing Address - Phone:985-674-5156
Mailing Address - Fax:985-674-5156
Practice Address - Street 1:19600 N 12TH ST
Practice Address - Street 2:APT 1303
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8213
Practice Address - Country:US
Practice Address - Phone:985-674-5156
Practice Address - Fax:985-674-5156
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health