MS. SHANDRIA RENEE WOODALL


Address: 1152 Longfellow Rd, Sarasota, FL 34243-1215
Phone: 9415247654

MS. SHANDRIA RENEE WOODALL (NPI# 1518482108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518482108
Entity Type Individual
Full Name MS. SHANDRIA RENEE WOODALL
Credential MA, RMHCI
Practice Address 1152 Longfellow Rd
Sarasota
FL 34243-1215
Mailing Address Po Box 9432
Bradenton
FL 34206-9432
Practice Telephone 9415247654
Mailing Telephone 9415247654
Enumeration Date 2017-08-04
Last Update Date 2017-08-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IMH15702 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1152 LONGFELLOW RD
City SARASOTA
State FL
Zip Code 34243-1215

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144836008 Kerry Linden Counselor 3615 Huntington Place Dr, Sarasota, FL 34237-3980 2020-09-16
1891309621 Brian Squitieri Counselor 1453 S School Ave, Sarasota, FL 34239-2430 2020-08-31
1639797814 Laura K Cunningham Counselor 7248 Beneva Rd, Sarasota, FL 34238-2806 2020-07-14
1447877261 Ptsd Trauma Therapy Counselor 400 Madison Dr Ste 221, Sarasota, FL 34236-1410 2020-06-26
1225650021 Kelly Anne Bell Counselor 1076 Longfellow Cir, Sarasota, FL 34243-1269 2020-05-14
1245852136 Deidre Jones Counselor 419 Parkland Ave, Sarasota, FL 34232-1558 2020-05-13
1003449802 Kent Ryan Kelley Counselor 306 Island Cir, Sarasota, FL 34242-1938 2020-02-20
1093347288 Rebecca Mary Leader Counselor 1750 Alta Vista St, Sarasota, FL 34236-8404 2020-02-06
1063043800 Mark S. Macko Counselor 4786 Hamlets Grove Dr, Sarasota, FL 34235-2278 2020-01-30
1407496052 Jocelyn Patterson Counselor 5713 Blount Ave, Sarasota, FL 34231-8305 2020-01-12
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Competitor

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City SARASOTA
Zip Code 34243

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Dataset Information

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.

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