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
Fax: (855) 857-7333
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962557918 NPPES
North Carolina Other 1118-V BCBS
North Carolina MEDICAID 6106061 BCBS

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