Healthcare Provider Details

I. General information

NPI: 1568902138
Provider Name (Legal Business Name): LAYLA MAE WOOD LPC, LCDC III
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2017
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 W CENTRAL AVE
TOLEDO OH
43617-1000
US

IV. Provider business mailing address

11474 COUNTY ROAD T
NAPOLEON OH
43545-9777
US

V. Phone/Fax

Practice location:
  • Phone: 419-841-7701
  • Fax:
Mailing address:
  • Phone: 614-706-3198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.0900232
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6401017340
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401017340
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: