Woody, Lou Rae

Woody, Lou Rae is an individual health care provider with primary practice located at 820 Paseo De Peralta , Santa Fe NM 87501-2233. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Woody, Lou Rae can be contacted via phone (505) 992-3129.

Contact Information

Primary practice address
820 Paseo De Peralta Santa Fe NM 87501-2233
Phone: (505) 992-3129
Fax: (505) 820-1209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1324 New Mexico
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1325 New Mexico

Profile Details

NPI number 1932132990
LBN Legal business name Woody, Lou Rae
Credentials LMFT , LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1932132990 NPPES
New Mexico MEDICAID 70814

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