ANTOINETTE GOODEN (NPI# 1659552651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659552651 |
| Entity Type | Individual |
| Full Name | ANTOINETTE GOODEN |
| Credential | LPC, NCC, MAC, ACS |
| Practice Address |
6000 Stewart Parkway #6777 Douglasville GA 30135-6777 |
| Mailing Address |
Po Box 6777 Douglasville GA 30154-0030 |
| Practice Telephone | 4046921014 |
| Practice Fax Number | 4043931868 |
| Mailing Telephone | 4046921014 |
| Mailing Fax Number | 4043931868 |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MAC 508018 | VA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
NCC 236587 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005074 | GA | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
SRS P12 683283 | GA | Behavioral Health & Social Service Providers |
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
508018 | Residential Treatment Facilities |
| Street Address |
6000 STEWART PARKWAY #6777 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-6777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972616 | The Next Step Assessment and Counseling Services | Counselor | 8329 Office Park Dr Ste A, Douglasville, GA 30134-6937 | 2020-01-27 |
| 1629611801 | Deana Nelson | Counselor | 4560 Talon Way, Douglasville, GA 30135-7462 | 2019-10-21 |
| 1700437514 | Shinah Russell | Counselor | 7084 Roselake Cir, Douglasville, GA 30134-1680 | 2019-09-23 |
| 1093293045 | Holistic Solutions Counseling Services | Counselor | 2110 Fairburn Rd Ste C, Douglasville, GA 30135-1090 | 2018-08-01 |
| 1144770009 | Inspiring Healing and Hope Counseling and Development Center, LLC | Counselor | 8332 Office Park Dr, Suite H, Douglasville, GA 30134-6937 | 2016-10-04 |
| 1477918266 | Peace of Mind Counseling, LLC | Counselor | 8306 Office Park Dr, Ste C, Douglasville, GA 30134-6935 | 2015-12-21 |
| 1457734527 | Mattie Finn | Counselor | 9635 Bark Chip Way, Douglasville, GA 30135-2498 | 2015-07-07 |
| 1417342718 | Nextsteptowardsuccess | Counselor | 8330 Office Park Dr, Douglasville, GA 30134-6937 | 2015-04-02 |
| 1700297603 | Corina Giles | Counselor | 3133 Golf Ridge Blvd Ste 304, Douglasville, GA 30135-1995 | 2014-05-13 |
| 1750705521 | Resiliency Counseling Services, LLC | Counselor | 8954 Hospital Dr Ste 110, Douglasville, GA 30134-2272 | 2014-02-13 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on ANTOINETTE GOODEN.
| 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.