Tracy Jean Goudy in Newport - Mental Health
Tracy Jean Goudy - NPI 1639131121
Tracy Jean Goudy is a Mental Health in Newport, Oregon. Tracy Jean Goudy practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tracy Jean Goudy is 1639131121. The last update date is 2016-08-24.
Tracy Jean Goudy's current location address is 11580 Ne Beverly Dr, Newport, Oregon. You can contact this provider via phone number 5412654508 and fax number 5412654508. The mailing address for Tracy Jean Goudy is 11580 Ne Beverly Dr, Newport, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Jean Goudy |
|---|---|
| Address | 11580 Ne Beverly Dr, Newport, Oregon |
| Phone Number | 5412654508 |
| Fax Number | 5412654508 |
| Sole Proprietor | N |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1639131121 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2016-08-24 |
Provider Mailing Address Detail
| Address | 11580 Ne Beverly Dr |
|---|---|
| City | Newport |
| State | Oregon (OR) |
| Post Code | 973659538 |
| Phone Number | 5412654508 |
| Fax Number | 5412654508 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C4248 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code assigned to Tracy Jean Goudy by the Centers for Medicare & Medicaid Services?
The Tracy Jean Goudy has been issued the NPI (National Provider Identifier) 1639131121 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tracy Jean Goudy is located?
The Tracy Jean Goudy is situated at the following address: 11580 Ne Beverly Dr, Newport, OR, 973659538.
What is the Tracy Jean Goudy's specialty and taxonomy code?
The Tracy Jean Goudy's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date was the 1639131121 assigned to Tracy Jean Goudy?
The Tracy Jean Goudy was issued its 1639131121 on 2006-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tracy Jean Goudy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy Jean Goudy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-08-24.