Provider Demographics
NPI:1982928719
Name:WOODS, TASHEMA CELESTE (CERTIFICATE,)
Entity Type:Individual
Prefix:MISS
First Name:TASHEMA
Middle Name:CELESTE
Last Name:WOODS
Suffix:
Gender:F
Credentials:CERTIFICATE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 LOCKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-3117
Mailing Address - Country:US
Mailing Address - Phone:617-251-5422
Mailing Address - Fax:617-288-7457
Practice Address - Street 1:23 LOCKWOOD ST
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-3117
Practice Address - Country:US
Practice Address - Phone:617-251-5422
Practice Address - Fax:617-288-7457
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor