PATRICK TRAVIS WOODRUFF (NPI# 1104452333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104452333 |
| Entity Type | Individual |
| Full Name | PATRICK TRAVIS WOODRUFF |
| Credential | MA, LCMHCA, LCAS |
| Practice Address |
246a S Main St Marion NC 28752-4551 |
| Practice Telephone | 2525592882 |
| Mailing Telephone | 6155968881 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
25275 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A14792 | NC | Behavioral Health & Social Service Providers |
| Street Address |
246A S MAIN ST |
| City | MARION |
| State | NC |
| Zip Code | 28752-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
| 1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
| 1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
| Find all providers in zip 28752 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346577 | Gwendolyn Reeves | Counselor | 54 College Dr, Marion, NC 28752-8728 | 2020-04-27 |
| 1154816296 | Billy Gene Sheehan | Counselor | 46 Marquette Dr Ste 2, Marion, NC 28752-6680 | 2018-06-29 |
| 1932602034 | Anquinett Burnett | Counselor | 551 Burma Rd W, Marion, NC 28752-5583 | 2018-03-14 |
| 1437664521 | Jenifer Joy Aronson | Counselor | 1122 W 3rd St, Marion, IN 46952-3667 | 2017-12-11 |
| 1487163572 | Ivery Davis | Counselor | Pee Dee Mental Health, Marion Clinic, 1100 S. Main St., Marion, SC 29571-2957 | 2017-09-21 |
| 1497274468 | Shirley Lee Johnson | Counselor | 480 Saint Paul Church Rd, Marion, LA 71260-4835 | 2017-09-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1205294717 | Leah Rachelle Kelley | Counselor | 1780 Lytle Mountain Rd, Marion, NC 28752-8488 | 2016-01-29 |
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1366827149 | Wendy Jill Owens | Counselor | 201 Converse Rd, Marion, MA 02738-1703 | 2015-07-22 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.