Provider Demographics
NPI:1447620166
Name:WOODS, TONYA (MS, LPC)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 LOW GAP RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:AL
Mailing Address - Zip Code:35760-9535
Mailing Address - Country:US
Mailing Address - Phone:256-653-7096
Mailing Address - Fax:
Practice Address - Street 1:1181 LOW GAP RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:AL
Practice Address - Zip Code:35760-9535
Practice Address - Country:US
Practice Address - Phone:256-653-7096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330000014Medicaid