| Victoria L. Woods, Lcsw, Llc | |
|
727 E Bethany Home Rd Suite C-102 Phoenix AZ 85014-2198 | |
| (602) 679-5273 | |
| (602) 216-9590 |
| Full Name | Victoria L. Woods, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 727 E Bethany Home Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Victoria Lee Woods (SOLE PROPRIETOR) |
| Authorized Official Contact | 6026795273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria L. Woods, Lcsw, Llc 727 E Bethany Home Rd Suite C-102 Phoenix AZ 85014-2198 Ph: (602) 679-5273 | Victoria L. Woods, Lcsw, Llc 727 E Bethany Home Rd Suite C-102 Phoenix AZ 85014-2198 Ph: (602) 679-5273 |
| NPI Number | 1225361108 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Medicare PECOS PAC ID | 3678619483 |
|---|---|
| Medicare Enrollment ID | O20091008000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225361108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-11749 (Arizona) | Primary |
| Provider Name | Victoria L Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023281318 PECOS PAC ID: 4880730670 Enrollment ID: I20091008000277 |
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