Healthcare Provider Details

I. General information

NPI: 1215850557
Provider Name (Legal Business Name): WOODY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3312 KITTERY CT
FORT COLLINS CO
80526-2351
US

IV. Provider business mailing address

3312 KITTERY CT
FORT COLLINS CO
80526-2351
US

V. Phone/Fax

Practice location:
  • Phone: 970-590-3333
  • Fax:
Mailing address:
  • Phone: 970-590-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TYLER WOODY
Title or Position: OWNER
Credential: LPC
Phone: 970-590-3333