Mrs. Shante Nichole Lee Wood
Mental Health Counselor
5 Spruce Ct
Newark
, Delaware 19702-3628
Mrs. Shante Nichole Lee Wood
Mental Health Counselor
5 Spruce Ct
Newark
, Delaware 19702-3628
(610) 842-7524
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Mrs. Shante Nichole Lee Wood
- 5 Spruce Ct
- Newark, DE
- Zip : 19702-3628
- Phone : (610) 842-7524
Second Address
- Mrs. Shante Nichole Lee Wood
- 5 Spruce Ct
- Newark, DE
- Zip : 19702-3628
- Phone : (610) 842-7524
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Is Mrs. Shante Nichole Lee Wood a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | PA |
National Provider Identifier
| NPI | 1003145160 |
|---|---|
| Provider Name | Mrs. Shante Nichole Lee Wood |
| First Address | Newark, DE 19702-3628 |
| Second Address | Newark, DE 19702-3628 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2009 |
| Last Update Date | 26/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.