Tekeisha Goggins, | |
105 Church St, Rainbow City, AL 35906-6242 | |
(256) 452-4058 | |
(256) 782-0054 |
Full Name | Tekeisha Goggins |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 105 Church St, Rainbow City, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891200903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4090C (Alabama) | Primary |
Entity Name | Quality Of Life Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
Mailing Address | Practice Location Address |
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Tekeisha Goggins, 105 Church St, Rainbow City, AL 35906-6242 Ph: () - | Tekeisha Goggins, 105 Church St, Rainbow City, AL 35906-6242 Ph: (256) 452-4058 |
Mr. Thomas D. Johnson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 206 Rescia Ave, Rainbow City, AL 35906 Phone: 256-413-7154 Fax: 256-413-7813 | |
Emily Hamilton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 E Grand Ave Ste E, Rainbow City, AL 35906 Phone: 256-906-9494 | |
Mrs. Bridgette Marie Wilson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3644 Rainbow Dr, Rainbow City, AL 35906 Phone: 256-613-2678 | |
Leslie Marie Wells, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3644 Rainbow Dr, Rainbow City, AL 35906 Phone: 256-490-6878 |