| Tekeisha Goggins Sole Mbr | |
|
3413 Rainbow Pkwy # A Rainbow City AL 35906-3283 | |
| (256) 452-4058 | |
| Not Available |
| Full Name | Tekeisha Goggins Sole Mbr |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3413 Rainbow Pkwy # A, Rainbow City, Alabama |
| Authorized Official Name and Position | Tekeisha Goggins (OWNER) |
| Authorized Official Contact | 2564524058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tekeisha Goggins Sole Mbr 917 Ivan Dr Sw Jacksonville AL 36265-3017 Ph: () - | Tekeisha Goggins Sole Mbr 3413 Rainbow Pkwy # A Rainbow City AL 35906-3283 Ph: (256) 452-4058 |
| NPI Number | 1265925291 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265925291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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