Goggans, Deanna Lynn

Goggans, Deanna Lynn is an individual health care provider with primary practice located at 110 Skyline Dr , Russellville AR 72801-3362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Goggans, Deanna Lynn can be contacted via phone (479) 968-1298.

Contact Information

Primary practice address
110 Skyline Dr Russellville AR 72801-3362
Phone: (479) 968-1298
Fax: (479) 968-6053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1109068 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1109068 Arkansas

Profile Details

NPI number 1376794503
LBN Legal business name Goggans, Deanna Lynn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Apr 22nd, 2020 - about 4 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 1376794503 NPPES
Arkansas MEDICAID 227036719

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