MEDICARE: MS. SHEILA D WOODS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1265965594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA D WOODS LPC

Provider Business Mailing Address
First Line	:	4340 BEXLEY DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-5514
Country	:	US
Telephone Number	:	470-454-3603
Fax Number	:

Provider Business Practice Location Address
First Line	:	756 W PEACHTREE ST NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1118
Country	:	US
Telephone Number	:	470-468-5929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	12/05/2022

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