LYSHA ERIN WOOD M.A. NPI 1689922296

NPI Information

NPI: 1689922296
Provider Name: LYSHA ERIN WOOD, M.A.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1015 TYRONE RD STE 710
TYRONE, GA
ZIP 30290
Phone: (770) 468-3266
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Lysha Erin Wood, M.A. is a professional counselor in Tyrone, GA. Lysha Erin Wood, M.A. NPI is 1689922296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1015 TYRONE RD STE 710
TYRONE, GA
ZIP 30290-455
Phone: (770) 468-3266

The enumeration date for this NPI number is 8/29/2012 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		2043	WEST VIRGINIA	No
2	101YP2500X	Counselor	Professional	LPC007168	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0005489001	MEDICAID	WEST VIRGINIA
2	0005489002	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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