Provider Demographics
NPI:1740961267
Name:WOODARD, NATALIE DENISE (MSW, CMHT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:DENISE
Last Name:WOODARD
Suffix:
Gender:F
Credentials:MSW, CMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 HIGHWAY 178 EAST, HOLLY SPRINGS MS 38635
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38653
Mailing Address - Country:US
Mailing Address - Phone:662-252-4140
Mailing Address - Fax:
Practice Address - Street 1:820 H9IGHWAY 178 E
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635
Practice Address - Country:US
Practice Address - Phone:662-252-4140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health