Healthcare Provider Details

I. General information

NPI: 1518458967
Provider Name (Legal Business Name): TONI WOODS LCAS, ICAADC, TCYT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N DAVIS AVE
NEWTON NC
28658-2223
US

IV. Provider business mailing address

218 S MAIN AVE
NEWTON NC
28658-0300
US

V. Phone/Fax

Practice location:
  • Phone: 828-461-6060
  • Fax:
Mailing address:
  • Phone: 828-461-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number510453
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24173
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP016189
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: