Healthcare Provider Details

I. General information

NPI: 1992700538
Provider Name (Legal Business Name): JILL WOICIK LPC-MHSP, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12124 HIGHWAY 52 W STE 1
WESTMORELAND TN
37186-3257
US

IV. Provider business mailing address

212 CARTER RIDGE RD
WESTMORELAND TN
37186-5111
US

V. Phone/Fax

Practice location:
  • Phone: 423-521-2024
  • Fax:
Mailing address:
  • Phone: 423-521-2024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4366
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: