Provider Demographics
NPI:1992484737
Name:WOODS, ABRIANA (MC)
Entity type:Individual
Prefix:
First Name:ABRIANA
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19420 N 59TH AVE STE A103
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6895
Mailing Address - Country:US
Mailing Address - Phone:602-935-0548
Mailing Address - Fax:
Practice Address - Street 1:19420 N 59TH AVE STE A103
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6895
Practice Address - Country:US
Practice Address - Phone:602-935-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC22416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health