Gregory, Retha Woods

Gregory, Retha Woods is an individual health care provider with primary practice located at 2400 S 48Th St , Springdale AR 72762-6683. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gregory, Retha Woods can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2400 S 48Th St Springdale AR 72762-6683
Fax: (479) 751-4346
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P8812026 Arkansas

Profile Details

NPI number 1780638742
LBN Legal business name Gregory, Retha Woods
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780638742 NPPES
Arkansas Other 5S925 BLUE SHIELD PROVIDER #

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