Provider Demographics
NPI:1831455948
Name:WOOD, CAROL K (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:K
Last Name:WOOD
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7003 CHADWICK DR
Mailing Address - Street 2:STE 290
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5232
Mailing Address - Country:US
Mailing Address - Phone:615-812-9664
Mailing Address - Fax:
Practice Address - Street 1:7003 CHADWICK DR
Practice Address - Street 2:STE 290
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5232
Practice Address - Country:US
Practice Address - Phone:615-812-9664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC2795101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional