Goodman, Bailey Collins Correll
Goodman, Bailey Collins Correll is an sole proprietor health care provider with primary practice located at 2278 Moody Rd Ste D , Warner Robins GA 31088-1933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodman, Bailey Collins Correll can be contacted via phone (478) 929-0294.Contact Information
Primary practice address
2278 Moody Rd Ste D
Warner Robins GA 31088-1933
Phone: (478) 929-0294
Fax: (478) 923-9770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY004596 | Georgia |
Profile Details
| NPI number | 1700522547 |
|---|---|
| LBN Legal business name | Goodman, Bailey Collins Correll |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2022 |
| Last updated | May 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700522547 | NPPES |
| Georgia | Other | PSY004596 | GEORGIA STATE BOARD OF PSYCHOLOGISTS |
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