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NPI Code Detail

MEDICARE: KELA L WOODS LPC

MEDICARE:   KELA L 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
1101YP2500XProfessional Counselor2017002431MO

General Provider Information

NPI Number : 1649711755
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELA L WOODS LPC
Provider Business Mailing Address
First Line : 10174 W FLORISSANT AVE STE 309
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-2104
Country : US
Telephone Number : 314-753-5920
Fax Number :
Provider Business Practice Location Address
First Line : 10174 W FLORISSANT AVE STE 309
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-2104
Country : US
Telephone Number : 314-753-5920
Fax Number : 314-753-5920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2017
Last Update Date : 05/07/2025

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Directions to “ KELA L WOODS LPC” Practice Location

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