Goodheart, Dawn Rachelle
Goodheart, Dawn Rachelle is an individual health care provider with primary practice located at 1161 Mall Dr Ste C , Las Cruces NM 88011-8193. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Goodheart, Dawn Rachelle can be contacted via phone (575) 522-2330.Contact Information
Primary practice address
1161 Mall Dr Ste C
Las Cruces NM 88011-8193
Phone: (575) 522-2330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0140831 | New Mexico |
Profile Details
| NPI number | 1275938094 |
|---|---|
| LBN Legal business name | Goodheart, Dawn Rachelle |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2014 |
| Last updated | May 7th, 2019 - about 7 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 | 1275938094 | NPPES |
| New Mexico | Other | 0140831 | LICENSE |
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