Provider Demographics
NPI:1659863637
Name:HOLLEIGH B WOODWARD
Entity type:Organization
Organization Name:HOLLEIGH B WOODWARD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLEIGH
Authorized Official - Middle Name:B
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-248-9415
Mailing Address - Street 1:1115 MCKINLEY AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2933
Mailing Address - Country:US
Mailing Address - Phone:256-302-1063
Mailing Address - Fax:
Practice Address - Street 1:7500 MEMORIAL PKWY SW STE 215M
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2200
Practice Address - Country:US
Practice Address - Phone:256-248-9415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3880101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty