MRS. BECKY R GOUDY MA, LASAC
NPI 1871829143
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ
Active since October 21, 2009
2400 N CENTRAL AVE STE 400, PHOENIX, AZ 85004(602) 264-9891(602) 234-2639 Get Directions Write a Review
About Mrs. Becky R Goudy Ma, Lasac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BECKY R GOUDY MA, LASAC (NPI 1871829143) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LASAC13105) and active in the NPI registry since October 2009.
NPPES Registry Identity
NPI1871829143
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. BECKY R GOUDYCredential: MA, LASAC
Location Address2400 N CENTRAL AVE STE 400Phoenix, AZ 85004-1315
Mailing Address2400 N Central Ave Ste 400Phoenix, AZ 85004-1315 · (602) 264-9891 · Fax (602) 234-2639
Phone(602) 264-9891
Fax(602) 234-2639
Sole ProprietorNo
Enumeration DateOctober 21, 2009
✔ NPI 1871829143 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LASAC13105
2400 N CENTRAL AVE STE 400, Phoenix, AZ 85004
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
2400 N CENTRAL AVE STE 400
PHOENIX, AZ 85004
PHOENIX, AZ 85004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871829143, enumerated as an "individual" on October 21, 2009.
The provider is located at 2400 N CENTRAL AVE STE 400 PHOENIX, AZ 85004 and the phone number is (602) 264-9891.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
