| Woodard Healing Center, Llc | |
|
1117 Old Colony Ln Ste A Williamsburg VA 23185-3801 | |
| (757) 204-9528 | |
| Not Available |
| Full Name | Woodard Healing Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1117 Old Colony Ln Ste A, Williamsburg, Virginia |
| Authorized Official Name and Position | Philisha Woodard (OWNER) |
| Authorized Official Contact | 8048248237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodard Healing Center, Llc 1117 Old Colony Ln Ste A Williamsburg VA 23185-3801 Ph: (757) 204-9528 | Woodard Healing Center, Llc 1117 Old Colony Ln Ste A Williamsburg VA 23185-3801 Ph: (757) 204-9528 |
| NPI Number | 1962086348 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 4789125485 |
|---|---|
| Medicare Enrollment ID | O20240922000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962086348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Philisha Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023601812 PECOS PAC ID: 9133536840 Enrollment ID: I20210325000422 |
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