Goodman, Wendy

Goodman, Wendy is an sole proprietor health care provider with primary practice located at 2859 Plaza Rojo , Santa Fe NM 87507-6521. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Goodman, Wendy can be contacted via phone (505) 474-6825.

Contact Information

Primary practice address
2859 Plaza Rojo Santa Fe NM 87507-6521
Phone: (505) 474-6825
Fax: (505) 474-6825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0122491 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0111261 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0127551 New Mexico

Profile Details

NPI number 1558539619
LBN Legal business name Goodman, Wendy
Credentials LMHC, LADAC, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2008
Last updated Mar 27th, 2011 - about 15 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 1558539619 NPPES
New Mexico MEDICAID 1558539619

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