LAUREL BETH GOLDMAN NPI 1265908636

NPI Information

NPI: 1265908636
Provider Name: LAUREL BETH GOLDMAN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4314 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60653
Phone: (312) 747-0036
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Laurel Beth Goldman is a mental health counselor in Chicago, IL. Laurel Beth Goldman NPI is 1265908636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4314 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60653-514
Phone: (312) 747-0036
Fax: (312) 747-2208

The enumeration date for this NPI number is 10/23/2018 and was last updated on 10/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265758619	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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