Provider Demographics
NPI:1538842083
Name:WOODS, ADONIS (COUNSELOR/BEHAVIORAL)
Entity type:Individual
Prefix:
First Name:ADONIS
Middle Name:
Last Name:WOODS
Suffix:
Gender:M
Credentials:COUNSELOR/BEHAVIORAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ROCKAWAY PKWY APT 6K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3452
Mailing Address - Country:US
Mailing Address - Phone:917-496-4174
Mailing Address - Fax:
Practice Address - Street 1:165 ROCKAWAY PKWY APT 6K
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3452
Practice Address - Country:US
Practice Address - Phone:917-496-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor