TRACIE B GOODSPEED, LLC (NPI# 1184993297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184993297 |
| Entity Type | Organization |
| Organization Name | TRACIE B GOODSPEED, LLC |
| Practice Address |
3941 S 1st St W Muskogee OK 74401-8915 |
| Practice Telephone | 9186873730 |
| Mailing Telephone | 9186873730 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | TRACIE B GOODSPEED (OWNER) |
| Authorized Official Telephone | 9186873730 |
| Authorized Official Credential | M.ED., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4461 | OK | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TRACIE B GOODSPEED, LLC | 3941 South 1st St West, Muskogee, OK 74401 |
| Street Address |
3941 S 1ST ST W |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-8915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043796725 | Erin Goss, Lpc, Ladc, Pllc | Counselor | 333 S 38th St Ste K, Muskogee, OK 74401-4937 | 2018-07-16 |
| 1174947063 | Alicia Danielle Woodrum | Counselor | 315 N 4th St, Muskogee, OK 74401-6312 | 2014-02-12 |
| 1689096034 | Gena Brown | Counselor | 2420 N 24th St W, Muskogee, OK 74401-2241 | 2014-01-19 |
| 1366728172 | David Wayne Calvert | Counselor | 202 Bel Aire Pl, Muskogee, OK 74403-4805 | 2011-10-25 |
| 1255667622 | Robyn Joyce Fullerton | Counselor | 1305 S County Club Rd, Muskogee, OK 74403-7802 | 2009-10-20 |
| 1932372232 | Marvel Turner | Counselor | 323 North 3rd Street, Suite 104, Muskogee, OK 74401 | 2008-04-08 |
| 1508999434 | Michelle Geriese Schulewitz | Counselor | 3007 Oklahoma St, Muskogee, OK 74401-2749 | 2007-03-13 |
| 1124190285 | Karen R. Fite | Counselor | 3300 Chandler Rd Ste 109, Muskogee, OK 74403-4909 | 2006-11-14 |
| 1437232782 | Gerald Wayne Carter | Counselor | 2606 S 28th St, Muskogee, OK 74401-2920 | 2006-10-23 |
| 1437183555 | Brenda Susan Hull | Counselor | 928 N York St Bldg 2 Suite 34, Muskogee, OK 74403-3123 | 2006-07-11 |
| Find all providers in MUSKOGEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.