Qusayy M. Godbolt

LBN: Qusayy M. Godbolt
Qusayy M. Godbolt is an health care organization with primary practice located at 1207 Snowball Ln , Clarksville TN 37042-7855. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Qusayy M. Godbolt can be contacted via phone (931) 378-4751, or through Walker, Amanda via phone (817) 938-0823.

Contact Information

Primary practice address
1207 Snowball Ln Clarksville TN 37042-7855
Phone: (931) 378-4751
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Amanda
Phone: (817) 938-0823

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1497303960
LBN Legal business name Qusayy M. Godbolt
DBA Doing business as
Authorized official Walker, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2019
Last updated Aug 28th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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