KELLEY GOODWIN


Address: 2023 W Houston Way, Memphis, TN 38139-6933
Phone: 3476330494

KELLEY GOODWIN (NPI# 1750897146) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
4301 TN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA FAMILIES FIRST 58-1054331 01

Office Location

Street Address 2023 W HOUSTON WAY
City MEMPHIS
State TN
Zip Code 38139-6933

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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
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38139

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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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