Goodman, Thomas G
Goodman, Thomas G is an sole proprietor health care provider with primary practice located at 1309 S University Dr , Nacogdoches TX 75961-6486. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Goodman, Thomas G can be contacted via phone (936) 560-5668.Contact Information
Primary practice address
1309 S University Dr
Nacogdoches TX 75961-6486
Phone: (936) 560-5668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 19383 | Texas |
Profile Details
| NPI number | 1508941212 |
|---|---|
| LBN Legal business name | Goodman, Thomas G |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Apr 2nd, 2024 - about 2 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 | 1508941212 | NPPES |
| Texas | MEDICAID | 1719478-01 | |
| Texas | Other | 7514LC |
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