| Roy J Woods, | |
|
180 Sophie Dr, Antioch, TN 37013-5815 | |
| (615) 973-4108 | |
| Not Available |
| Full Name | Roy J Woods |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 180 Sophie Dr, Antioch, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952628380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 02556 (Tennessee) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy J Woods, 180 Sophie Dr, Antioch, TN 37013-5815 Ph: (615) 973-4108 | Roy J Woods, 180 Sophie Dr, Antioch, TN 37013-5815 Ph: (615) 973-4108 |
Kennia Sarahi Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 | |
Chelsea Bates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5050 Blue Hole Rd, Antioch, TN 37013 Phone: 615-988-0353 | |
Sara Barnes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 | |
Donielle Leshea Townsend, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 | |
Kendra Sadia White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Cane Ridge Rd Apt 703, Antioch, TN 37013 Phone: 919-901-2384 | |
Kurrissa K Johnson, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Cane Ridge Pkwy, Antioch, TN 37013 Phone: 615-525-8746 | |
Shelby Elizabeth Gibson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Westcott Ln, Antioch, TN 37013 Phone: 615-243-0968 |