Gooden, Antoinette

Gooden, Antoinette is an sole proprietor health care provider with primary practice located at 6000 Stewart Parkway #6777, Douglasville GA 30135-6777. She recently has 5 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 / School, Residential Treatment Facilities / Substance Abuse Treatment, Children, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gooden, Antoinette can be contacted via phone (404) 692-1014.

Contact Information

Primary practice address
6000 Stewart Parkway #6777 Douglasville GA 30135-6777
Phone: (404) 692-1014
Fax: (404) 393-1868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MAC 508018 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X NCC 236587 North Carolina
Behavioral Health & Social Service Providers / School 101YS0200X SRS P12 683283 Georgia
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 508018
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005074 Georgia

Profile Details

NPI number 1659552651
LBN Legal business name Gooden, Antoinette
Credentials LPC, NCC, MAC, ACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2007
Last updated Jul 29th, 2019 - about 5 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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