LAREINA WOODHAM
NPI 1730503277
Counselor - Mental Health in Edgewater Park, NJ
Active since February 04, 2014
About Lareina Woodham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAREINA WOODHAM (NPI 1730503277) is an individual mental health provider in Edgewater Park, New Jersey and active in the NPI registry since February 2014.
NPPES Registry Identity
NPI1730503277
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAREINA WOODHAM
Location Address1497 PERKINS LNEdgewater Park, NJ 08010-2207
Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5928
Phone(609) 835-2492
Sole ProprietorNo
Enumeration DateFebruary 4, 2014
✔ NPI 1730503277 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1497 PERKINS LN, Edgewater Park, NJ 08010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730503277, enumerated as an "individual" on February 04, 2014.
The provider is located at 1497 PERKINS LN EDGEWATER PARK, NJ 08010 and the phone number is (609) 835-2492.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
