Wood, Carolyn
Wood, Carolyn is an individual health care provider with primary practice located at 60 Professional Park Dr , Louisa KY 41230-9644. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wood, Carolyn can be contacted via phone (606) 638-4332.Contact Information
Primary practice address
60 Professional Park Dr
Louisa KY 41230-9644
Phone: (606) 638-4332
Fax: (606) 329-8195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 165034 | Kentucky |
Profile Details
| NPI number | 1821195827 |
|---|---|
| LBN Legal business name | Wood, Carolyn |
| Credentials | LCADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 7th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821195827 | NPPES |
| Kentucky | MEDICAID | 30610026 |
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