KELLEY GOODWIN (NPI# 1750897146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750897146 |
Entity Type | Individual |
Full Name | KELLEY GOODWIN |
Credential | LPC |
Practice Address |
2023 W Houston Way Memphis TN 38139-6933 |
Practice Telephone | 3476330494 |
Mailing Telephone | 3476330494 |
Enumeration Date | 2017-12-20 |
Last Update Date | 2017-12-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
4301 | TN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | FAMILIES FIRST | 58-1054331 | 01 |
Street Address |
2023 W HOUSTON WAY |
City | MEMPHIS |
State | TN |
Zip Code | 38139-6933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215582598 | Nutrition Wellness | Nutritionist | 9494 Fox Hill Circle N., Germantown, TN 38139 | 2019-08-05 |
1083952600 | Christopher Gilbert | Pharmacist | 2835 Kirby Parkway, Memphis, TN 38139 | 2013-01-17 |
1750582292 | Amy Louise Thompson | Speech-Language Pathologist | 8591 Sycamore Trail Dr, Germantown, TN 38139 | 2007-05-31 |
1881895480 | Gerald W. Bock | Specialist | 8573 Cordes Circle, Germantown, TN 38139 | 2007-05-30 |
1215081120 | Jeffrey Ward Frost | Chiropractor | 9947 Wolf River, Suite 105, Germantown, TN 38139 | 2007-01-22 |
1720173859 | Mid South Neurology Clinic Pllc | Psychiatry & Neurology | 8584 Cordes Circle, Germantown, TN 38139 | 2006-10-04 |
1972614295 | Miguel Pulido | Dentist | 8590 Farmington Blvd, Suite 5, Germantown, TN 38139 | 2006-08-31 |
1467092932 | Mshn Enterprises LLC | Home Health Aide | 8584 Cordes Cir, Germantown, TN 38139-3317 | 2020-01-13 |
1356624506 | Addiction & Mental Health Services, LLC | Clinic/Center | 8566 Cordes Cir, Memphis, TN 38139-3317 | 2011-09-23 |
1952573255 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 8570 Cordes Cir, Ste 2, Germantown, TN 38139-3317 | 2008-03-26 |
Find all providers in zip 38139 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164048542 | Opportunities Never End LLC | Counselor | 5629 Falling Bark Dr, Memphis, TN 38134-6671 | 2020-06-22 |
1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
1801444872 | Mary Hilgeman Neal | Counselor | 297 Mary Ann Dr, Memphis, TN 38117-2805 | 2019-09-03 |
1134695851 | Savannah Burton | Counselor | 895 S Cooper St Ste 12&3, Memphis, TN 38104-5604 | 2018-10-19 |
1205301611 | Britney Bryson | Counselor | 4525 Lunsford Dr, Memphis, TN 38125-3284 | 2018-10-11 |
1730663063 | Timothy Terry | Counselor | 1714 Monroe Ave, Memphis, TN 38104-3924 | 2018-09-22 |
1154801934 | Elizabeth Marie Vigus | Counselor | 1407 Union Ave Ste 805, Memphis, TN 38104-3642 | 2018-08-21 |
1316436439 | Mardrey Alicia Wade Kiles | Counselor | 4440 Bishop Hills Dr, Memphis, TN 38128-7427 | 2018-05-03 |
1801399191 | Crysta Michelle Nilsson | Counselor | 5118 Park Ave Ste 115, Memphis, TN 38117-5720 | 2018-03-13 |
1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
Find all providers in MEMPHIS |
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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.