Gould, Amy Lynn

Gould, Amy Lynn is an sole proprietor health care provider with primary practice located at 3659 Green Rd Ste 101 , Beachwood OH 44122-5715. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gould, Amy Lynn can be contacted via phone (216) 401-7433.

Contact Information

Primary practice address
3659 Green Rd Ste 101 Beachwood OH 44122-5715
Phone: (216) 401-7433
Fax: (855) 860-1978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0602179 SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0602179-SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0602179 Ohio

Profile Details

NPI number 1639342421
LBN Legal business name Gould, Amy Lynn
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2008
Last updated Jan 24th, 2022 - about 2 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 1639342421 NPPES
Ohio MEDICAID 0450404
Ohio MEDICAID 0279728

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