Goad, December L
Goad, December L is an sole proprietor health care provider with primary practice located at 50 Al Henderson Blvd , Savannah GA 31419-6001. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goad, December L can be contacted via phone (912) 417-5787.Contact Information
Primary practice address
50 Al Henderson Blvd
Savannah GA 31419-6001
Phone: (912) 417-5787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 102156 | Kentucky |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC009595 | Georgia |
Profile Details
| NPI number | 1508105289 |
|---|---|
| LBN Legal business name | Goad, December L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2013 |
| Last updated | Jun 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508105289 | NPPES |
| Kentucky | MEDICAID | 7100298630 |
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