Carr, Rhonda Goodman

Carr, Rhonda Goodman is an sole proprietor health care provider with primary practice located at 913 21St St , Meridian MS 39301-2512. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carr, Rhonda Goodman can be contacted via phone (601) 482-8494.

Contact Information

Primary practice address
913 21St St Meridian MS 39301-2512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C0478 Mississippi

Profile Details

NPI number 1730399833
LBN Legal business name Carr, Rhonda Goodman
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Feb 4th, 2009 - 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 1730399833 NPPES
Mississippi MEDICAID 08071780

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