Woody-Simmons, Kendra

Woody-Simmons, Kendra is an sole proprietor health care provider with primary practice located at 6650 Rivers Ave Suite 124, North Charleston SC 29406-4809. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Woody-Simmons, Kendra can be contacted via phone (843) 475-9096.

Contact Information

Primary practice address
6650 Rivers Ave Suite 124 North Charleston SC 29406-4809
Phone: (843) 475-9096
Fax: (866) 496-9934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 09052613 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5234 South Carolina

Profile Details

NPI number 1588968713
LBN Legal business name Woody-Simmons, Kendra
Credentials LPC, CAC, SAP, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588968713 NPPES
South Carolina Other 255933 NATIONAL CERTIFIED COUNSELOR
South Carolina Other 5234 NATIONAL CERTIFIED COUNSELOR
South Carolina Other 13334 NATIONAL CERTIFIED COUNSELOR
South Carolina Other 09052613 NATIONAL CERTIFIED COUNSELOR

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