Gooden, Adaiah
Gooden, Adaiah is an sole proprietor health care provider with primary practice located at 12414 N 28Th Dr Ste D , Phoenix AZ 85029-2488. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gooden, Adaiah can be contacted via phone (480) 442-8530.Contact Information
Primary practice address
12414 N 28Th Dr Ste D
Phoenix AZ 85029-2488
Phone: (480) 442-8530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13228 | Arizona |
Profile Details
| NPI number | 1942941919 |
|---|---|
| LBN Legal business name | Gooden, Adaiah |
| Credentials | LASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Apr 5th, 2022 - about 4 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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