Goodwin, Cheyenne
Goodwin, Cheyenne is an sole proprietor health care provider with primary practice located at 4911 N Portland Ave , Oklahoma City OK 73112-6171. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goodwin, Cheyenne can be contacted via phone (405) 605-3093.Contact Information
Primary practice address
4911 N Portland Ave
Oklahoma City OK 73112-6171
Phone: (405) 605-3093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1730249699 |
|---|---|
| LBN Legal business name | Goodwin, Cheyenne |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Mar 31st, 2010 - about 16 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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