Provider Demographics
NPI:1265392906
Name:WOODHAM COUNSELING AND VOCATIONAL SERVICES PLLC
Entity type:Organization
Organization Name:WOODHAM COUNSELING AND VOCATIONAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LEIDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOODHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-556-2579
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-0012
Mailing Address - Country:US
Mailing Address - Phone:815-556-2579
Mailing Address - Fax:630-593-7579
Practice Address - Street 1:4355 SCHOFIELD DR
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8174
Practice Address - Country:US
Practice Address - Phone:815-556-2579
Practice Address - Fax:630-593-7579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty