| April Ajayya Godsey, Llc | |
|
8830 Tallon Ln Ne Suite E Lacey WA 98516-6656 | |
| (360) 561-4073 | |
| (360) 972-2652 |
| Full Name | April Ajayya Godsey, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8830 Tallon Ln Ne, Lacey, Washington |
| Authorized Official Name and Position | April Godsey (SOLE PROPRIETOR) |
| Authorized Official Contact | 3605614073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| April Ajayya Godsey, Llc 8830 Tallon Ln Ne Suite E Lacey WA 98516-6656 Ph: (360) 561-4073 | April Ajayya Godsey, Llc 8830 Tallon Ln Ne Suite E Lacey WA 98516-6656 Ph: (360) 561-4073 |
| NPI Number | 1902283831 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902283831 | NPI | - | NPPES |
| 1467786368 | Medicaid | WA | |
| 1467786368 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LH60267276 (Washington) | Primary |
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