Search › Georgia › 101YP2500X
Antoinette Gooden, LPC, NCC, MAC, ACS
NPI 1659552651 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6000 Stewart Parkway
#6777
Douglasville, GA 30135 - Phone
- (404) 692-1014
- Fax
- (404) 393-1868
- Organisation at this address
- Eternal Ivy Foundation Inc.
There'S No Place Like Home Senior CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
101YM0800X
101YS0200X
3245S0500X - Licence states on file
- VA, NC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia