Goochey, Heather L

Goochey, Heather L is an individual health care provider with primary practice located at 7362 University Ave Ne Ste 307 , Fridley MN 55432-3150. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goochey, Heather L can be contacted via phone (651) 439-2059.

Contact Information

Primary practice address
7362 University Ave Ne Ste 307 Fridley MN 55432-3150
Fax: (888) 675-8262
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC00289 Minnesota

Profile Details

NPI number 1215233309
LBN Legal business name Goochey, Heather L
Credentials MS, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2011
Last updated Apr 24th, 2018 - about 6 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 1215233309 NPPES
Minnesota MEDICAID 1215233309

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