Goossens, Thomas Albert

Goossens, Thomas Albert is an sole proprietor health care provider with primary practice located at 7501 N University St Suite 221-A, Peoria IL 61614-1278. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Goossens, Thomas Albert can be contacted via phone (309) 689-8878.

Contact Information

Primary practice address
7501 N University St Suite 221-A Peoria IL 61614-1278
Phone: (309) 689-8878
Fax: (309) 689-8878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149008315 Illinois

Profile Details

NPI number 1225018815
LBN Legal business name Goossens, Thomas Albert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Jan 2nd, 2016 - about 8 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.

Request for update

Popular Providers