Kristal Lucille Woodbeck in League City - Counselor

Kristal Lucille Woodbeck - NPI 1235119165

Kristal Lucille Woodbeck is a Counselor in League City, Texas. Kristal Lucille Woodbeck practices all healthcare services and medical treatments related to Counselor. The NPI Number for Kristal Lucille Woodbeck is 1235119165. The last update date is 2010-01-14.

Kristal Lucille Woodbeck's current location address is 805 Coryell, League City, Texas. You can contact this provider via phone number 2813328608 and fax number 2813325283. The mailing address for Kristal Lucille Woodbeck is 805 Coryell, League City, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristal Lucille Woodbeck
Address 805 Coryell, League City, Texas
Phone Number 2813328608
Fax Number 2813325283
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1235119165
Provider Enumeration Date 2006-01-18
Last Updated Date 2010-01-14

Provider Mailing Address Detail

Address 805 Coryell
City League City
State Texas (TX)
Post Code 77573
Phone Number 2813328608
Fax Number 2813325283

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No 12626
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
112993401 TX --
10009095 TX AMERIGROUP

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FAQs about Kristal Lucille Woodbeck

What is the unique 10-digit identifier code issued to Kristal Lucille Woodbeck by the Centers for Medicare & Medicaid Services?

The Kristal Lucille Woodbeck has been assigned the NPI (National Provider Identifier) 1235119165 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Kristal Lucille Woodbeck's physical address?

The Kristal Lucille Woodbeck is physically located at 805 Coryell, in the city of League City, TX, with the postal code 77573.

What is Kristal Lucille Woodbeck's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kristal Lucille Woodbeck is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.

On what date did the Kristal Lucille Woodbeck receive its 1235119165 assignment from the Centers for Medicare & Medicaid Services?

The Kristal Lucille Woodbeck was assigned its 1235119165 by the Centers for Medicare & Medicaid Services on 2006-01-18.

When was the information regarding Kristal Lucille Woodbeck most recently updated?

The details pertaining to the Kristal Lucille Woodbeck, including its address, specialty, and other relevant information, were last refreshed on 2010-01-14.

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