| Opal Goodwin, Lcsw, Llc | |
|
38261 Brown Rd Prairieville LA 70769-3905 | |
| (225) 955-2770 | |
| Not Available |
| Full Name | Opal Goodwin, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 38261 Brown Rd, Prairieville, Louisiana |
| Authorized Official Name and Position | Opal Celeste Goodwin (OWNER) |
| Authorized Official Contact | 2259552770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opal Goodwin, Lcsw, Llc 38261 Brown Rd Prairieville LA 70769-3905 Ph: (225) 955-2770 | Opal Goodwin, Lcsw, Llc 38261 Brown Rd Prairieville LA 70769-3905 Ph: (225) 955-2770 |
| NPI Number | 1376301804 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376301804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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