Provider Demographics
NPI:1801981139
Name:WOOD, CARLA JOANN (LPC)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:JOANN
Last Name:WOOD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 ESSEX CIR NW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-2006
Mailing Address - Country:US
Mailing Address - Phone:252-292-3733
Mailing Address - Fax:
Practice Address - Street 1:1202 ESSEX CIR NW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-2006
Practice Address - Country:US
Practice Address - Phone:252-292-3733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional