IndividualActive
Lydia Woody
NPI 1730703380 · Mental Health Counselor · Phoenix, OR
Provider details
- NPI number
- 1730703380
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- C10762 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Practice location
745 N Rose St
Phoenix, OR 97535-5704
Phone: (541) 535-6329
Approximate (ZIP-level) locationGet directions
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Registry dates
- Enumerated
- 2020-05-29
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.