Individual
ALEXIS MALONE WOOLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
EMPOWER BEHAVIORAL HEALTH AND INTERVENTION, 2540 BILLINGSLEY RD, COLUMBUS, OH 43235-1990
(614) 470-2018
(614) 953-2802
Mailing address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(614) 615-5145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049884
—
OH
Enumeration date
06/19/2019
Last updated
08/30/2024
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