Kelly Goforth in Louisville - Marriage & Family Therapist
Kelly Goforth - NPI 1194858571
Kelly Goforth is a Marriage & Family Therapist in Louisville, Kentucky. Kelly Goforth practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kelly Goforth is 1194858571. The last update date is 2016-06-03.
Kelly Goforth's current location address is 4710 Champions Trace Ln Ste 107, Louisville, Kentucky. You can contact this provider via phone number 5025898600 and fax number 5025898771. The mailing address for Kelly Goforth is 4710 Champions Trace Ln Ste 107, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Goforth |
|---|---|
| Address | 4710 Champions Trace Ln Ste 107, Louisville, Kentucky |
| Phone Number | 5025898600 |
| Fax Number | 5025898771 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194858571 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2016-06-03 |
Provider Mailing Address Detail
| Address | 4710 Champions Trace Ln Ste 107 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402184490 |
| Phone Number | 5025898600 |
| Fax Number | 5025898771 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 105429 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Kelly Goforth by the Centers for Medicare & Medicaid Services?
The Kelly Goforth has been assigned the NPI (National Provider Identifier) 1194858571 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kelly Goforth?
The Kelly Goforth is situated at 4710 Champions Trace Ln Ste 107, in the city of Louisville, state of KY, with the zip code 402184490.
What is Kelly Goforth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Goforth is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194858571 to Kelly Goforth?
The Kelly Goforth received its 1194858571 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the Kelly Goforth's details last updated?
The information pertaining to the Kelly Goforth, including its address, specialty, and other details, was most recently updated on 2016-06-03.