Goodwine, Jody A.

Goodwine, Jody A. is an sole proprietor health care provider with primary practice located at 2619 W 11Th Street Rd Suite #23, Greeley CO 80634-5464. 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 / Mental Health is her primary health care specialty. Goodwine, Jody A. can be contacted via phone (970) 351-6900.

Contact Information

Primary practice address
2619 W 11Th Street Rd Suite #23 Greeley CO 80634-5464
Phone: (970) 351-6900
Fax: (970) 351-7165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2052 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X 2052 Colorado

Profile Details

NPI number 1598751596
LBN Legal business name Goodwine, Jody A.
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2005
Last updated Jul 8th, 2007 - about 17 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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