Individual
LYSHA ERIN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1015 TYRONE RD STE 710, TYRONE, GA 30290-2455
(770) 468-3266
Mailing address
1015 TYRONE RD STE 710, TYRONE, GA 30290-2455
(770) 468-3266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2043
WV
101YP2500X
Professional Counselor
Primary
LPC007168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005489001
—
WV
05
—
0005489002
—
WV
Enumeration date
08/29/2012
Last updated
04/26/2024
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