Priscilla Anne Goodwin in Mesa - Counselor
Priscilla Anne Goodwin - NPI 1669528949
Priscilla Anne Goodwin is a Counselor in Mesa, Arizona. Priscilla Anne Goodwin practices all healthcare services and medical treatments related to Counselor. The NPI Number for Priscilla Anne Goodwin is 1669528949. The last update date is 2009-03-09.
Priscilla Anne Goodwin's current location address is 1710 S 74th St, Mesa, Arizona. You can contact this provider via phone number 4809815555. The mailing address for Priscilla Anne Goodwin is 1710 S 74th St, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Priscilla Anne Goodwin |
|---|---|
| Address | 1710 S 74th St, Mesa, Arizona |
| Phone Number | 4809815555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PROF. FOST |
NPI Number Detail
| NPI Number | 1669528949 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2009-03-09 |
Provider Mailing Address Detail
| Address | 1710 S 74th St |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852094136 |
| Phone Number | 4809815555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 5102 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5102 | AZ | PROF. FOSTER HOME |
Post Comment/ Review Below
What is the unique identifier code issued to Priscilla Anne Goodwin by the Centers for Medicare & Medicaid Services?
The Priscilla Anne Goodwin has been assigned the NPI (National Provider Identifier) 1669528949. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Priscilla Anne Goodwin?
The Priscilla Anne Goodwin is situated at 1710 S 74Th St, in the city of Mesa, state of AZ, with the zip code 852094136.
What is the area of specialization for Priscilla Anne Goodwin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Priscilla Anne Goodwin is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Priscilla Anne Goodwin receive the assignment of its 1669528949 from the Centers for Medicare & Medicaid Services?
The Priscilla Anne Goodwin was issued its 1669528949 by the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information related to Priscilla Anne Goodwin most recently updated or refreshed?
The details pertaining to the Priscilla Anne Goodwin, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-03-09.