Goudeau, Rosamond Ellis
Goudeau, Rosamond Ellis is an individual health care provider with primary practice located at 179 Pierce Ave , Macon GA 31204-2821. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goudeau, Rosamond Ellis can be contacted via phone (478) 742-1464.Contact Information
Primary practice address
179 Pierce Ave
Macon GA 31204-2821
Phone: (478) 742-1464
Fax: (478) 742-1883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 001410 | Georgia |
Profile Details
| NPI number | 1467549790 |
|---|---|
| LBN Legal business name | Goudeau, Rosamond Ellis |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jan 11th, 2021 - about 3 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 | 1467549790 | NPPES |
| Georgia | Other | 001410 | LCSW |
Popular Providers
-
Stevens, Daphne
3445 Osborne Pl , Macon GA 31204-1843 -
Jung, Yudit
168 Marshall Ave , Macon GA 31204-2306 -
Braxley, Jane Butler
175 Emery Hwy , Macon GA 31217-3692 -
Smith, Amanda Ellis
311 Pierce Ave , Macon GA 31204-2421 -
Compere, David
117 Parkwood Ave , Macon GA 31210-5018 -
Ruffin, Edward Wood
175 Emery Highway , Macon GA 31217 -
Mercer, Mandy Kimball
175 Emery Hwy , Macon GA 31217-3692 -
Mills, Daniel Russell
3419 Ridge Ave. , Macon GA 31204