The Goode Doctor Llc
LBN: The Goode Doctor Llc
The Goode Doctor Llc is an health care organization with primary practice located at 920 Providence Rd Ste 407 , Towson MD 21286-2979. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is the primary health care specialty.
The Goode Doctor Llc can be contacted via phone (877) 893-5480, or through Goode-Ctoss, David via phone (877) 893-5480.
Contact Information
Primary practice address
920 Providence Rd Ste 407
Towson MD 21286-2979
Phone: (877) 893-5480
Fax: (877) 893-5480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
| NPI number | 1245879402 |
|---|---|
| LBN Legal business name | The Goode Doctor Llc |
| DBA Doing business as | |
| Authorized official | Goode-Ctoss, David PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2020 |
| Last updated | Jan 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245879402 | NPPES |
| Maryland | Other | 1215203716 | PSYCHOLOGY |
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