Antoinette Gooden in Douglasville - Addiction (substance Use Disorder)
Antoinette Gooden - NPI 1659552651
Antoinette Gooden is a Addiction (substance Use Disorder) in Douglasville, Georgia. Antoinette Gooden practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Antoinette Gooden is 1659552651. The last update date is 2019-07-29.
Antoinette Gooden's current location address is Po Box 6777, Douglasville, Georgia. You can contact this provider via phone number 4046921014 and fax number 4043931868. The mailing address for Antoinette Gooden is Po Box 6777, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antoinette Gooden |
|---|---|
| Address | Po Box 6777, Douglasville, Georgia |
| Phone Number | 4046921014 |
| Fax Number | 4043931868 |
| Sole Proprietor | Y |
| Credentials | LPC, NCC, |
NPI Number Detail
| NPI Number | 1659552651 |
|---|---|
| Provider Enumeration Date | 2007-11-18 |
| Last Updated Date | 2019-07-29 |
Provider Mailing Address Detail
| Address | Po Box 6777 |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301540030 |
| Phone Number | 4046921014 |
| Fax Number | 4043931868 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | MAC 508018 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code assigned to Antoinette Gooden by the Centers for Medicare & Medicaid Services?
The Antoinette Gooden has been issued the NPI (National Provider Identifier) 1659552651 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Antoinette Gooden's physical address?
The Antoinette Gooden is physically located at Po Box 6777, in the city of Douglasville, GA, with the postal code 301540030.
What is Antoinette Gooden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Antoinette Gooden's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659552651 to Antoinette Gooden?
The Centers for Medicare & Medicaid Services originally issued the 1659552651 to Antoinette Gooden on 2007-11-18.
As of what date were the details related to Antoinette Gooden most recently updated or revised?
The information pertaining to Antoinette Gooden, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-29.