Healthcare Provider Details

I. General information

NPI: 1497687446
Provider Name (Legal Business Name): LAURA WOOL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 W TROY ST STE B
DOTHAN AL
36303-4455
US

IV. Provider business mailing address

1952 CAHABA CREST DR
BIRMINGHAM AL
35242-4411
US

V. Phone/Fax

Practice location:
  • Phone: 314-794-6409
  • Fax:
Mailing address:
  • Phone: 314-546-2202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2015006494
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: