MS. TIFFANY M WOODS LCPC
NPI 1376167957
Counselor - Professional in Forest Park, IL
Active since May 30, 2020
About Ms. Tiffany M Woods Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TIFFANY M WOODS LCPC (NPI 1376167957) is an individual professional provider in Forest Park, Illinois, licensed in Illinois (180009910) and active in the NPI registry since May 2020.
NPPES Registry Identity
NPI1376167957
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TIFFANY M WOODSCredential: LCPC
Location Address1044 FERDINAND AVEForest Park, IL 60130-2204
Mailing Address1044 Ferdinand AveForest Park, IL 60130-2204 · (708) 296-1253
Phone(708) 296-1253
Sole ProprietorYes
Enumeration DateMay 30, 2020
NPPES CertifiedMay 30, 2020
✔ NPI 1376167957 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180009910
1044 FERDINAND AVE, Forest Park, IL 60130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376167957, enumerated as an "individual" on May 30, 2020.
The provider is located at 1044 FERDINAND AVE FOREST PARK, IL 60130 and the phone number is (708) 296-1253.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
