DASHA'NAE NEKOLE GOODRICH - NPI 1235818659 - Peer Specialist in Roanoke, VA

Q: What is Dasha'nae Goodrich's NPI number?

The NPI number for Dasha'nae Goodrich is 1235818659. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Q: What is Dasha'nae Goodrich's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

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About Dasha'nae Nekole Goodrich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DASHA'NAE NEKOLE GOODRICH (NPI 1235818659) is an individual peer specialist in Roanoke, Virginia, licensed in Virginia (0735000746) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1235818659

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameDASHA'NAE NEKOLE GOODRICH

Location Address360 CAMPBELL AVE SWRoanoke, VA 24016-3625

Mailing Address360 Campbell Ave SwRoanoke, VA 24016-3625 · (540) 795-4695 · Fax (540) 563-5254

Phone(540) 795-4695

Fax(540) 563-5254

Sole ProprietorNo

Enumeration DateJuly 13, 2023

NPPES CertifiedJuly 13, 2023

✔ NPI 1235818659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in VA · 0735000746

Definition

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.

360 CAMPBELL AVE SW, Roanoke, VA 24016

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BOTELLO LPC

Counselor (Professional)