Goldsby, Eboni Anicka

Goldsby, Eboni Anicka is an individual health care provider with primary practice located at 506 Highway 2 , Sterlington LA 71280. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Goldsby, Eboni Anicka can be contacted via phone (318) 598-5040.

Contact Information

Primary practice address
506 Highway 2 Sterlington LA 71280
Phone: (318) 598-5040
Fax: (844) 270-1958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1124537642
LBN Legal business name Goldsby, Eboni Anicka
Credentials N/A
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2017
Last updated May 17th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124537642 NPPES
Louisiana MEDICAID 1497113559

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