Provider Demographics
NPI:1831374917
Name:SMITH-WOODY, REBECCA (MA LPC)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:SMITH-WOODY
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8461 TURNPIKE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-4378
Mailing Address - Country:US
Mailing Address - Phone:303-427-8225
Mailing Address - Fax:303-427-8909
Practice Address - Street 1:8461 TURNPIKE DR STE 110
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4378
Practice Address - Country:US
Practice Address - Phone:303-427-8225
Practice Address - Fax:303-427-8909
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO751101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional