MARLA L GODETTE


Address: 11959 Adams Rd, Granger, IN 46530-7519
Phone: 2484701730

MARLA L GODETTE (NPI# 1396395356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396395356
Entity Type Individual
Full Name MARLA L GODETTE
Credential MA
Practice Address 11959 Adams Rd
Granger
IN 46530-7519
Mailing Address Po Box 1061
Granger
IN 46530-1061
Practice Telephone 2484701730
Enumeration Date 2019-09-12
Last Update Date 2019-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401011754 MI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 E Mishawaka Ave, Mishawaka, IN 465456604 2484701730

Office Location

Street Address 11959 ADAMS RD
City GRANGER
State IN
Zip Code 46530-7519

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1023669868 Karen Fischer Counselor 5031 Knollfield Pl, Fort Wayne, IN 46809-9521 2019-09-23
1639729353 Joel Harris Counselor 351 Monroe St, Huntington, IN 46750-3262 2019-09-14
1477116986 Angela M Fisher Counselor 5109 N College Ave, Indianapolis, IN 46205-1135 2019-04-19
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Competitor

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City GRANGER
Zip Code 46530

Improve Information

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Dataset Information

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.

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