Provider Demographics
NPI:1932572674
Name:WOOD COUNSELING SERVICES
Entity Type:Organization
Organization Name:WOOD COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROF. COUNSELOR ASSOC.
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:B
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LPCA
Authorized Official - Phone:336-667-0440
Mailing Address - Street 1:198 PADS RD
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-7618
Mailing Address - Country:US
Mailing Address - Phone:336-667-0440
Mailing Address - Fax:336-667-0440
Practice Address - Street 1:198 PADS RD
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697-7618
Practice Address - Country:US
Practice Address - Phone:336-667-0440
Practice Address - Fax:336-667-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11726261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)