MEDICARE: BRANDY MICHELLE WOOD

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-30882	NC
2	1041C0700X	Clinical Social Worker	P023793	NC

General Provider Information

NPI Number	:	1447119060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY MICHELLE WOOD

Provider Business Mailing Address
First Line	:	4705 UNIVERSITY DR BLDG 700
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3489
Country	:	US
Telephone Number	:	919-237-1337
Fax Number	:	919-237-1625

Provider Business Practice Location Address
First Line	:	7850 BRIER CREEK PKWY STE 102
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8900
Country	:	US
Telephone Number	:	984-263-0846
Fax Number	:	984-263-0848

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	06/05/2026

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