Latoya Lasha Woodard, LPC | |
1007 Mary Street, Waycross, GA 31503 | |
(912) 449-7111 | |
Not Available |
Full Name | Latoya Lasha Woodard |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1007 Mary Street, Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134608367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Unison Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528104866 PECOS PAC ID: 7517852247 Enrollment ID: O20040220000112 |
Mailing Address | Practice Location Address |
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Latoya Lasha Woodard, LPC 1007 Mary St, Waycross, GA 31503-3823 Ph: () - | Latoya Lasha Woodard, LPC 1007 Mary Street, Waycross, GA 31503 Ph: (912) 449-7111 |
Misty Burchette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100 | |
Mrs. Linda Howard Cooper, BA APPLIED BEHAVIORA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1397 Smith Rd, Waycross, GA 31503 Phone: 912-550-1199 | |
Stacie Norman, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Mary St, Waycross, GA 31503 Phone: 912-449-7150 Fax: 912-449-7060 | |
Charles E Pritchett, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100 | |
Judith L Hunt, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Boulevard Sq, Suite A, Waycross, GA 31501 Phone: 912-283-4026 Fax: 912-283-4028 | |
Dr. Janie B Oliver, PHD Counselor Medicare: Medicare Enrolled Practice Location: 802 Eads St, Waycross, GA 31501 Phone: 912-281-6126 |