Individual
LAUREN WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE-I
Contact information
Practice address
287 S BROADVIEW ST STE C-2, GREENBRIER, AR 72058-9233
(501) 575-0510
Mailing address
PO BOX 783, GREENBRIER, AR 72058-0783
(501) 575-0510
(501) 575-0550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
09-02EI
AR
103T00000X
Psychologist
Primary
09-02EI
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396477824
GROUP NPI
—
Enumeration date
02/15/2008
Last updated
07/31/2024
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