NICOLE GOOLSBY LICENSED MARRIAGE AND FAMILY THERAPIST INC. NPI 1760941199

NPI Information

NPI: 1760941199
Provider Name: NICOLE GOOLSBY, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
219 N INDIAN HILL BLVD STE 102
CLAREMONT, CA
ZIP 91711
Phone: (909) 206-4453
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NICOLE GOOLSBY, LICENSED MARRIAGE AND FAMILY THERAPIST, INC. is a mental health (including community mental health center) clinic center in Claremont, CA. NICOLE GOOLSBY, LICENSED MARRIAGE AND FAMILY THERAPIST, INC. NPI is 1760941199. The provider is registered as an organization entity type.

The provider's business location address is:

219 N INDIAN HILL BLVD STE 102
CLAREMONT, CA
ZIP 91711-644
Phone: (909) 206-4453

The provider's authorized official is Nicole Goolsby .
The authorized official title is Lmft/owner and has the following contact phone number (909) 206-4453.

The enumeration date for this NPI number is 3/15/2019 and was last updated on 5/21/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 5/5/2024

NPI Synchronization or Removal

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