NPI Index

MR. MICHAEL WOODBERRY, LMHC, CASAC-G, CPP

Counselor - Mental Health

Active Individual
NPI: 1306166251

Practice Address

11103 207TH ST
Queens Village, NY 11429

Phone: (347) 256-2591

Specialties

Specialty Code Primary License
Counselor 101Y00000X No 1054 (NY)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 12650 (NY)
Counselor - Mental Health 101YM0800X Yes 005270 (NY)

Frequently Asked Questions

NPI 1306166251 is the National Provider Identifier for MR. MICHAEL WOODBERRY, LMHC, CASAC-G, CPP, a Counselor - Mental Health provider located in Queens Village, NY. This NPI was enumerated on June 2, 2010.
MR. MICHAEL WOODBERRY, LMHC, CASAC-G, CPP practices at 11103 207TH ST, Queens Village, NY 11429.

Quick Facts

NPI
1306166251
Type
Individual
Enumerated
Jun 2, 2010
Last Updated
Oct 20, 2015

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