Provider Demographics
NPI:1982228623
Name:WOOD, ISABELLA GRACE
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:GRACE
Last Name:WOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218A CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1818
Mailing Address - Country:US
Mailing Address - Phone:931-881-5602
Mailing Address - Fax:
Practice Address - Street 1:432 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2259
Practice Address - Country:US
Practice Address - Phone:615-431-9776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-28
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician