MRS. LAURIE GODDARD (NPI# 1063860468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063860468 |
| Entity Type | Individual |
| Full Name | MRS. LAURIE GODDARD |
| Credential | M.A.E., ED.S |
| Practice Address |
4703 Nw 53rd Ave Suite A-2 Gainesville FL 32653-3415 |
| Mailing Address |
1615 Nw 34th Pl Gainesville FL 32605-2543 |
| Practice Telephone | 3523326131 |
| Mailing Telephone | 3524481898 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT3508 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2631 Nw 41st St Ste E6, Gainesville, FL 326066689 | 3524481898 |
| Street Address |
4703 NW 53RD AVE SUITE A-2 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32653-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356373682 | Kathleen M. Gierhart | Counselor | 4703 Nw 53rd Ave, Suite B2, Gainesville, FL 32653-3415 | 2006-07-07 |
| 1942711007 | Stevie Lynn Beale Vanausdale | Counselor | 4703 Nw 53rd Ave, Gainesville, FL 32653-3415 | 2017-10-17 |
| 1902294911 | Cheryl Bailey | Counselor | 4703 Nw 53rd Ave, B2, Gainesville, FL 32653-3415 | 2014-12-26 |
| 1487888590 | Karin Grace Fields | Counselor | 4703 Nw 53rd Ave, Suite A-2, Gainesville, FL 32653-3415 | 2009-05-05 |
| 1265631394 | Mary Ellen Shelton | Social Worker | 4703 Nw 53rd Ave, Suite B-2, Gainesville, FL 32653-3415 | 2007-07-18 |
| 1346453925 | Alice-diane Dee Dee Scharf | Counselor | 4703 Nw 53rd Ave, Suite A-2, Gainesville, FL 32653-3415 | 2007-05-08 |
| 1619197258 | Catheryn Yvette Johnson | Occupational Therapist | 4703 Nw 53rd Ave, Suite B-4, Gainesville, FL 32653-3415 | 2007-04-26 |
| 1144346214 | Rehab Rx Corp | Occupational Therapy Assistant | 4703 Nw 53rd Ave, Suite B4, Gainesville, FL 32606-8315 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200095 | Venice Hay Lawrence | Home Health Aide | 6604 Nw 28th Terr, Gainesville, FL 32653 | 2018-10-08 |
| 1770093320 | Daniel Mcpherson | Counselor | 4703 Nw 53rd Ave., Suite A-2, Gainesville, FL 32653 | 2017-10-10 |
| 1558883306 | Rustlewood Emergency Physicians LLC | Emergency Medicine | 4388 Nv 53rd Street Avenue, Gainesville, FL 32653 | 2017-07-13 |
| 1558767970 | Wellspring | Psychiatric Residential Treatment Facility | 5618 Nw 43rd Street, Gainesville, FL 32653 | 2014-11-12 |
| 1770989246 | Dawn Brown | Physician Assistant | North Florida Integrative Medicine, 6228 Nw 43rd Street Suite B, Gainesville, FL 32653 | 2014-11-11 |
| 1124428610 | Emma Grauerholz-fisher | Behavioral Analyst | 6224 Nw 43rd St., Suite B, Gainesville, FL 32653 | 2014-09-03 |
| 1790194611 | Yoko Fisher | Behavioral Analyst | 6224 Nw 43rd, Suite B, Gainesville, FL 32653 | 2014-08-05 |
| 1457763674 | Brandon Christopher Perez | Behavioral Analyst | 6224 Nw 43rd St, Suite B, Gainesville, FL 32653 | 2014-05-22 |
| 1417369836 | Karla Zabala | Behavioral Analyst | 6224 Nw 43rd Street, Suite B, Gainesville, FL 32653 | 2014-05-21 |
| 1780909358 | Kirstin Barley Adams | Family Medicine | 3627 Nw 64th Ln, Gainesville, FL 32653 | 2010-04-07 |
| Find all providers in zip 32653 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127684 | Dawn Cherie Aronson | Marriage & Family Therapist | 7828 Ontario Rd, Gainesville, VA 20155-1711 | 2020-09-01 |
| 1518505486 | Betsy Narveson | Marriage & Family Therapist | 9160 Sw 96th Ter, Gainesville, FL 32608-6050 | 2019-12-11 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1073173068 | Marina Jae Smerling | Marriage & Family Therapist | 5000 Nw 27th Ct Ste E, Gainesville, FL 32606-6500 | 2019-06-20 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1053807792 | Linda Danielle Hansen Buie | Marriage & Family Therapist | 2000 Sw Archer Rd Fl 4, Gainesville, FL 32608-1136 | 2018-07-05 |
| 1508216631 | Kelly Young | Marriage & Family Therapist | 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 | 2016-06-20 |
| 1548610157 | Emily Coburn | Marriage & Family Therapist | 915 Interstate Ridge Dr Ste G, Gainesville, GA 30501-7076 | 2016-06-14 |
| 1144666587 | Vann Counseling & Consulting, LLC | Marriage & Family Therapist | 802 Nw 16th Ave Ste A, Gainesville, FL 32601-4012 | 2013-05-13 |
| 1699013417 | Lg Counseling | Marriage & Family Therapist | 1521 Nw 34th St, Gainesville, FL 32605-5033 | 2013-01-29 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.