Provider Demographics
NPI:1023622818
Name:WOODARD, SHAYLA S (RMFT)
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:S
Last Name:WOODARD
Suffix:
Gender:F
Credentials:RMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 CITIZENS LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-3711
Mailing Address - Country:US
Mailing Address - Phone:757-338-4388
Mailing Address - Fax:
Practice Address - Street 1:751 THIMBLE SHOALS BLVD STE K
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3563
Practice Address - Country:US
Practice Address - Phone:757-586-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health