BENJAMIN WOOD (NPI# 1649832999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649832999 |
| Entity Type | Individual |
| Full Name | BENJAMIN WOOD |
| Credential | SWMFT |
| Practice Address |
12337 Ashley Dr Ste C Gulfport MS 39503-2753 |
| Mailing Address |
20329 Gordon St Saucier MS 39574-6070 |
| Practice Telephone | 6013660722 |
| Practice Fax Number | 6013360968 |
| Mailing Telephone | 6013660722 |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0513 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891082707 | Benjamin Robert Wood | Pharmacist | 276 Poplar Hill Road 2, Unadilla, NY 13849-3341 | 2011-06-30 |
| 1043834864 | Benjamin F Wood | Student in an Organized Health Care Education/Training Program | 1530 N 7th St Ste 200, Terre Haute, IN 47807-1061 | 2020-06-08 |
| 1245705854 | Benjamin Dixon Wood | Specialist/Technologist | 5500 34th St W, Bradenton, FL 34210-3506 | 2018-10-10 |
| 1124513296 | Benjamin Wood | Social Worker | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-06-29 |
| 1891213534 | Benjamin Wood | Counselor | 250 Catalonia Ave Ste 700, Coral Gables, FL 33134-6727 | 2017-09-01 |
| 1184165052 | Benjamin Morgan Wood | Counselor | 517 W Grace St, Richmond, VA 23220-4911 | 2017-03-13 |
| 1669859120 | Benjamin Tyler Wood | Psychologist | 105 The Knolls, Williamstown, MA 01267 | 2015-05-04 |
| 1629409339 | Benjamin Brian Wood | Occupational Therapy Assistant | 3959 Sheridan Ave, North Bend, OR 97459 | 2013-12-05 |
| 1154596278 | Benjamin David Wood | Psychiatry & Neurology | 123 Medical Center Dr, Mid Coast Hospital, Brunswick, ME 04011-2652 | 2008-04-29 |
| 1093904468 | Benjamin T. Wood | Obstetrics & Gynecology | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2007-10-22 |
| Street Address |
12337 ASHLEY DR STE C |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841426525 | Jennifer Lee Haney | Counselor | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2009-06-08 |
| 1053911586 | Dr. Michelle Jeanfreau LLC | Marriage & Family Therapist | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2020-10-26 |
| 1730786542 | Sol To Soul Counseling, LLC | Counselor | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2020-10-05 |
| 1679180251 | Haney Counseling Services, Pllc | Counselor | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2020-09-28 |
| 1184108276 | The Clinic, Therapy & Consulting LLC | Counselor | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2018-09-24 |
| 1609231042 | Sherry Cumbest | Counselor | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2015-12-30 |
| 1821434606 | Wendi Acklen Wood | Counselor | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2013-05-20 |
| 1790082667 | Michelle Jeanfreau | Marriage & Family Therapist | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2011-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559909 | Graystone Group LLC | Marriage & Family Therapist | 2218 18th St Ste B, Gulfport, MS 39501-2911 | 2019-06-28 |
| 1295200194 | Taylor South | Marriage & Family Therapist | 2802 Miriam St S, Gulfport, FL 33711-3720 | 2018-10-06 |
| 1831294313 | Dessie Elizabeth Faulkner | Marriage & Family Therapist | 12231 Ashley Dr, Suite C, Gulfport, MS 39503-2775 | 2006-09-13 |
| 1174579353 | Ray Collier | Marriage & Family Therapist | 12331a Ashley Dr, Gulfport, MS 39503-2738 | 2006-05-26 |
| 1053911586 | Dr. Michelle Jeanfreau LLC | Marriage & Family Therapist | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2020-10-26 |
| 1326692542 | Sonya Miller | Marriage & Family Therapist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2019-07-25 |
| 1609438977 | Graystone Group LLC | Marriage & Family Therapist | 2218 18th St Ste B, Gulfport, MS 39501-2911 | 2019-07-08 |
| 1134578263 | Summer Lucas | Marriage & Family Therapist | 240b Courthouse Rd, Gulfport, MS 39507-1214 | 2016-06-09 |
| 1417380783 | David Charles Wilson | Marriage & Family Therapist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2013-08-09 |
| 1790082667 | Michelle Jeanfreau | Marriage & Family Therapist | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2011-02-11 |
| Find all providers in GULFPORT | ||||
Please comment or provide details below to improve the information on BENJAMIN WOOD.
| 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.