Healthcare Provider Details

I. General information

NPI: 1891217014
Provider Name (Legal Business Name): KRISTEN MICHELLE WOODS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 07/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 LORNA RD STE 240
BIRMINGHAM AL
35244
US

IV. Provider business mailing address

3825 LORNA RD STE 240
BIRMINGHAM AL
35244-3003
US

V. Phone/Fax

Practice location:
  • Phone: 205-510-2761
  • Fax: 205-985-4939
Mailing address:
  • Phone: 205-510-2761
  • Fax: 205-985-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3700
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3700
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: