MRS. BECKY R GOUDY


Address: 2400 N Central Ave Ste 400, Phoenix, AZ 85004-1315
Phone: 6022649891

MRS. BECKY R GOUDY (NPI# 1871829143) 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) 1871829143
Entity Type Individual
Full Name MRS. BECKY R GOUDY
Credential MA, LASAC
Practice Address 2400 N Central Ave Ste 400
Phoenix
AZ 85004-1315
Practice Telephone 6022649891
Practice Fax Number 6022342639
Mailing Telephone 6022649891
Mailing Fax Number 6022342639
Enumeration Date 2009-10-21
Last Update Date 2009-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LASAC13105 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 2400 N CENTRAL AVE STE 400
City PHOENIX
State AZ
Zip Code 85004-1315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831354331 Barb Cronkhite Social Worker 2400 N Central Ave Ste 400, Phoenix, AZ 85004-1315 2008-07-23
1548662208 Sangita Patel Nurse Practitioner 2400 N Central Ave Ste 400, Phoenix, AZ 85004-1315 2014-09-24
1972835478 Vanessa Ashley Phillips Counselor 2400 N Central Ave Ste 400, Phoenix, AZ 85004-1315 2010-02-08

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1740775303 Alexander L. Shaw Dentist 201 N Central Ave. #1490, Phoenix, AZ 85004 2018-06-26
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1093231433 Ezequiel Bautista Music Therapist 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 2017-08-17
1841742442 Stacy Maahs Nurse Practitioner 500 N 3rd St Ste 155, Phoenix, AZ 85004 2016-10-29
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1881082790 Patricia Russell Specialist/Technologist 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 2014-12-30
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85004

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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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