Goodman Graham, Lavette
Goodman Graham, Lavette is an sole proprietor health care provider with primary practice located at 1133 South Blvd Apt 901 , Oak Park IL 60302-4279. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Goodman Graham, Lavette can be contacted via phone (201) 616-8181.Contact Information
Primary practice address
1133 South Blvd Apt 901
Oak Park IL 60302-4279
Phone: (201) 616-8181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209.032017 | Illinois |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 041.472420 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 309.023545 | Illinois |
Profile Details
| NPI number | 1740915677 |
|---|---|
| LBN Legal business name | Goodman Graham, Lavette |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2022 |
| Last updated | Nov 29th, 2025 - about last year |
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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