MEDICARE: DONTE WOODS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103K00000X	Behavior Analyst
3	101YM0800X	Mental Health Counselor
4	171400000X	Health & Wellness Coach
5	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1780482703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONTE WOODS

Provider Business Mailing Address
First Line	:	3305 MUSKET DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2974
Country	:	US
Telephone Number	:	762-217-4818
Fax Number	:	762-208-5261

Provider Business Practice Location Address
First Line	:	3305 MUSKET DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2974
Country	:	US
Telephone Number	:	762-217-4818
Fax Number	:	762-208-5261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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Directions to “ DONTE WOODS ” Practice Location

Language	Start Address	Practice Location

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