DASHA'NAE NEKOLE GOODRICH NPI 1235818659

NPI Information

  • NPI: 1235818659
  • Provider Name: DASHA'NAE NEKOLE GOODRICH
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 360 CAMPBELL AVE SW
    ROANOKE, VA
    ZIP 24016
  • Phone: (540) 795-4695

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NPI Details

Dasha'nae Nekole Goodrich is a peer specialist in Roanoke, VA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Dasha'nae Nekole Goodrich NPI is 1235818659. 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:

360 CAMPBELL AVE SW
ROANOKE, VA
ZIP 24016-625
Phone: (540) 795-4695
Fax: (540) 563-5254

The enumeration date for this NPI number is 7/13/2023 and was last updated on 7/13/2023.

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
1175T00000XPeer Specialist0735000746VIRGINIAYes

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: 11/21/2025

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