Provider Demographics
NPI:1932433489
Name:WOODRING, LAURA C (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:C
Last Name:WOODRING
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 CENTRAL AVE. SUITE 102
Mailing Address - Street 2:
Mailing Address - City:LAS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544
Mailing Address - Country:US
Mailing Address - Phone:505-662-4160
Mailing Address - Fax:505-662-9707
Practice Address - Street 1:1350 CENTRAL AVE. SUITE 102
Practice Address - Street 2:
Practice Address - City:LAS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544
Practice Address - Country:US
Practice Address - Phone:505-662-4160
Practice Address - Fax:505-662-9707
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0165511101YM0800X
171M00000X
NM0196021101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME7436Medicaid