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NPI Code Detail

MEDICARE: MR. LEILAND CARTER WOODS CASE MANAGER

MEDICARE: MR. LEILAND CARTER WOODS CASE MANAGER
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
1101YP1600XPastoral Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3171M00000XCase Manager/Care Coordinator
4175T00000XPeer Specialist
5101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1982102059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEILAND CARTER WOODS CASE MANAGER
Provider Business Mailing Address
First Line : 600 UNION BLVD STE 100
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-2121
Country : US
Telephone Number : 404-782-2988
Fax Number :
Provider Business Practice Location Address
First Line : 600 UNION BLVD STE 100
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-2121
Country : US
Telephone Number : 404-782-2988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2018
Last Update Date : 03/03/2023

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