Goolsby, Tina

Goolsby, Tina is an individual health care provider with primary practice located at 19530 Kedzie Ave , Flossmoor IL 60422-1778. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goolsby, Tina can be contacted via phone (708) 799-2200.

Contact Information

Primary practice address
19530 Kedzie Ave Flossmoor IL 60422-1778
Phone: (708) 799-2200
Fax: (708) 614-7831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1124529979
LBN Legal business name Goolsby, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Feb 27th, 2018 - about 7 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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