Goodwin, Peter H
Goodwin, Peter H is an individual health care provider with primary practice located at 1114 Plaza Del Norte Suite B, Espanola NM 87532-3216. He 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 his primary health care specialty. Goodwin, Peter H can be contacted via phone (505) 753-8933.Contact Information
Primary practice address
1114 Plaza Del Norte Suite B
Espanola NM 87532-3216
Phone: (505) 753-8933
Fax: (505) 753-9811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5481 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3132 | New Mexico |
Profile Details
| NPI number | 1013240308 |
|---|---|
| LBN Legal business name | Goodwin, Peter H |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2009 |
| Last updated | Oct 20th, 2014 - about 12 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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