person
Lysha Erin Wood, MA
Professional Counselor in Tyrone, Georgia
NPI 1689922296

Lysha Erin Wood is a Professional Counselor based in Tyrone, GA and is specialized in Professional. Lysha Erin Wood practices in Tyrone, GA and has the professional credentials of MA. The NPI Number for Lysha Erin Wood is 1689922296 and holds a License No. 2043 (Georgia).

The current practice location address for Lysha Erin Wood is 1015 Tyrone Rd Ste 710, Tyrone, GA and can be reached out via phone at 770-468-3266.

Location: 1015 Tyrone Rd Ste 710, Tyrone, GA, 30290-2455
person
Provider Profile Details
NPI Number
1689922296
Provider Name
Lysha Erin Wood
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1015 Tyrone Rd Ste 710, Tyrone, GA, 30290-2455
Phone Number
770-468-3266
Fax Number
Provider Enumeration Date
08/29/2012
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005489001 05 WV
0005489002 05 WV
institution
Provider Business Practice Location Address Details
Address
1015 Tyrone Rd Ste 710
City
State
Zip
30290-2455
Phone Number
770-468-3266
Fax Number
person
Provider Business Mailing Address Details
Address
1015 Tyrone Rd Ste 710
City
State
Zip
30290-2455
Phone Number
770-468-3266
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LPC007168 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2043 (West Virginia)
Definition
Definition to come...
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