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General NPI Number Information
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NPI Number | 1255686051
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Entity Type | Organization
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Legal Business Name | WOODBRIDGE COUNSELING, LLC
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 715 FAIRWAY LAKES RD
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City | GREENWOOD
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State | SC
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Zip | 29649-8437
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Country | US
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Telephone | 814-759-4344
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Fax | 866-986-2743
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Provider Business Mailing Address
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Address Line | 715 FAIRWAY LAKES RD
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City | GREENWOOD
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State | SC
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Zip | 29649-8437
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Country | US
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Telephone | 814-759-4344
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Fax | 866-986-2743
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LLOYD
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Credential |
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Telephone | 814-759-4344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS005187L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC005764
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License Number State | PA
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