Goodman, Holly Elizabeth
Goodman, Holly Elizabeth is an individual health care provider with primary practice located at 101 Cabarrus Ave E Ste 200 , Concord NC 28025. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodman, Holly Elizabeth can be contacted via phone (888) 849-7379.Contact Information
Primary practice address
101 Cabarrus Ave E Ste 200
Concord NC 28025
Phone: (888) 849-7379
Fax: (855) 857-7333
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003041 | North Carolina |
Profile Details
NPI number | 1962557918 |
---|---|
LBN Legal business name | Goodman, Holly Elizabeth |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | Feb 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962557918 | NPPES |
North Carolina | Other | 1118-V | BCBS |
North Carolina | MEDICAID | 6106061 | BCBS |
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