Gouge, Natasha Benfield

Gouge, Natasha Benfield is an individual health care provider with primary practice located at 2002 Brookside Dr Suite 200, Kingsport TN 37660-4634. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gouge, Natasha Benfield can be contacted via phone (423) 224-3933.

Contact Information

Primary practice address
2002 Brookside Dr Suite 200 Kingsport TN 37660-4634
Phone: (423) 224-3933
Fax: (423) 224-3934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000003181 Tennessee

Profile Details

NPI number 1487050233
LBN Legal business name Gouge, Natasha Benfield
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2014
Last updated Aug 22nd, 2019 - about 6 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 1487050233 NPPES
Virginia MEDICAID 1487050233
Virginia MEDICAID Q013245

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