Healthcare Provider Details

I. General information

NPI: 1306761648
Provider Name (Legal Business Name): WOODLAND PUZZLE PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 COURT ST
WOODLAND CA
95695-3111
US

IV. Provider business mailing address

15 COURT ST
WOODLAND CA
95695-3111
US

V. Phone/Fax

Practice location:
  • Phone: 530-761-1526
  • Fax:
Mailing address:
  • Phone: 530-761-1526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELLE LOUISE MCKINNEY
Title or Position: CO-OWNER
Credential: CWC 1
Phone: 530-554-6568