Lateshia Shuvone Woodley in Ellenwood - School

Lateshia Shuvone Woodley - NPI 1922262526

Lateshia Shuvone Woodley is a School in Ellenwood, Georgia. Lateshia Shuvone Woodley practices all healthcare services and medical treatments related to School. The NPI Number for Lateshia Shuvone Woodley is 1922262526. The last update date is 2008-07-12.

Lateshia Shuvone Woodley's current location address is 2676 Holly Berry Dr, Ellenwood, Georgia. You can contact this provider via phone number 4043996161 and fax number 4043634062. The mailing address for Lateshia Shuvone Woodley is 2676 Holly Berry Dr, Ellenwood, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Lateshia Shuvone Woodley
Address 2676 Holly Berry Dr, Ellenwood, Georgia
Phone Number 4043996161
Fax Number 4043634062
Sole Proprietor Y
Credentials LPC, NCC

NPI Number Detail

NPI Number 1922262526
Provider Enumeration Date 2008-07-12
Last Updated Date 2008-07-12

Provider Mailing Address Detail

Address 2676 Holly Berry Dr
City Ellenwood
State Georgia (GA)
Post Code 302943997
Phone Number 4043996161
Fax Number 4043634062

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 101Ys0200X
Licence No 748266
Definition:
A counselor who works with students in elementary, middle, and high schools.

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FAQs about Lateshia Shuvone Woodley

What is the unique 10-digit identification code assigned to Lateshia Shuvone Woodley by the Centers for Medicare & Medicaid Services?

The Lateshia Shuvone Woodley has been issued the NPI (National Provider Identifier) 1922262526, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lateshia Shuvone Woodley's facilities are situated?

The facilities of Lateshia Shuvone Woodley are physically located at the following address: 2676 Holly Berry Dr, Ellenwood, GA, 302943997.

What is the area of specialization for Lateshia Shuvone Woodley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lateshia Shuvone Woodley is School, and the corresponding taxonomy code that categorizes this area of expertise is 101Ys0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922262526 to Lateshia Shuvone Woodley?

The Centers for Medicare & Medicaid Services originally issued the 1922262526 to Lateshia Shuvone Woodley on 2008-07-12.

When was the information related to Lateshia Shuvone Woodley most recently updated or refreshed?

The details pertaining to the Lateshia Shuvone Woodley, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-12.

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