MR. TIMOTHY JAMES WOOD TLPC
NPI 1811258551
Counselor - Professional in Fremont, MI
Active since May 30, 2012
About Mr. Timothy James Wood Tlpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY JAMES WOOD TLPC (NPI 1811258551) is an individual professional provider in Fremont, Michigan, licensed in Michigan (6401013041) and active in the NPI registry since May 2012.
NPPES Registry Identity
NPI1811258551
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TIMOTHY JAMES WOODCredential: TLPC
Location Address623 E MAIN STFremont, MI 49412-9757
Mailing Address623 E Main St, Po Box 67Fremont, MI 49412-9757 · (231) 924-2401 · Fax (231) 924-2407
Phone(231) 924-2401
Fax(231) 924-2407
Sole ProprietorYes
Enumeration DateMay 30, 2012
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1811258551 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 MI · 6401013041
623 E MAIN ST, Fremont, MI 49412
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811258551, enumerated as an "individual" on May 30, 2012.
The provider is located at 623 E MAIN ST FREMONT, MI 49412 and the phone number is (231) 924-2401.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
