Goodman, Sue
Goodman, Sue is an sole proprietor health care provider with primary practice located at 667 Marlberry Pl , Henderson NV 89015-7475. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Goodman, Sue can be contacted via phone (313) 732-7332.Contact Information
Primary practice address
667 Marlberry Pl
Henderson NV 89015-7475
Phone: (313) 732-7332
Fax: (702) 388-4358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Nevada | |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Nevada | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Nevada | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Nevada | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Nevada |
Profile Details
| NPI number | 1891035614 |
|---|---|
| LBN Legal business name | Goodman, Sue |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2013 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891035614 | NPPES |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 | |
| Michigan | MEDICAID | 101066 |
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