Goodman, Kimberly Renee

Goodman, Kimberly Renee is an sole proprietor health care provider with primary practice located at 314 N Last Chance Gulch Ste 211B , Helena MT 59601-5012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodman, Kimberly Renee can be contacted via phone (406) 438-1324.

Contact Information

Primary practice address
314 N Last Chance Gulch Ste 211B Helena MT 59601-5012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 936 Montana

Profile Details

NPI number 1043482425
LBN Legal business name Goodman, Kimberly Renee
Credentials MSW, L.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2008
Last updated Jun 11th, 2013 - about 13 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 1043482425 NPPES
Montana MEDICAID 1043482425

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