EDWARD THOMAS GOLLIHUGH


Address: 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502
Phone: 2532077301

EDWARD THOMAS GOLLIHUGH (NPI# 1558982058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558982058
Entity Type Individual
Full Name EDWARD THOMAS GOLLIHUGH
Practice Address 721 Fawcett Ave Ste 204
Tacoma
WA 98402-5502
Practice Telephone 2532077301
Mailing Telephone 2532077301
Enumeration Date 2020-05-06
Last Update Date 2020-05-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 721 FAWCETT AVE STE 204
City TACOMA
State WA
Zip Code 98402-5502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992318208 Kathryn Nicole Haden Behavior Technician 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 2020-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548898638 Cimberleigh Mclean Social Worker 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 2020-04-01
1831735802 Nickolas Justin Wise Case Manager/Care Coordinator 1159 Market St, Tacoma, WA 98402 2019-11-25
1841835436 Michael Roy Bolden Counselor 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 2019-11-07
1073024980 Megan Elizabeth Charron Mourfield Denturist 725 St Helens Ave S, Tacoma, WA 98402 2017-10-18
1104367937 Janelle Santiago Counselor Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 2017-03-13
1891167862 Tanya Larson Therapy Community/Behavioral Health 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 2015-10-29
1609242148 Ashley Lorraine Dahlgren Peer Specialist 702 S 14th St., Tacoma, WA 98402 2015-08-19
1821416470 Nicole Villarreal Mccormick Acupuncturist 711 A Ct #100, Tacoma, WA 98402 2014-04-01
1184055824 Robyn Marie Callahan Social Worker 1102 A Street, Suite 202 B, Tacoma, WA 98402 2013-12-05
1679909410 Kristin Sweet Fischer Counselor 708 Market St Unit 411, Tacoma, WA 98402 2013-09-25
Find all providers in zip 98402

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy 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.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689225625 Belinda Lyndon Montgomery Peer Specialist 1602 N Orchard St, Tacoma, WA 98406-3346 2019-09-20
1609242148 Ashley Lorraine Dahlgren Peer Specialist 702 S 14th St., Tacoma, WA 98402 2015-08-19
1134727092 Francena Taylor Peer Specialist 5410 N 44th St, Tacoma, WA 98407-3799 2020-10-13
1710584313 Crystal Lee Peer Specialist 5410 N 44th St, Tacoma, WA 98407-3799 2020-10-06
1275146896 Jamaica Myers Peer Specialist 5410 N 44th St, Tacoma, WA 98407-3799 2020-08-24
1003434812 Maryann Hartman Peer Specialist 1305 Tacoma Ave S Ste 201, Tacoma, WA 98402-1903 2020-07-08
1851917991 Prossy Nageri Balome Peer Specialist 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 2020-06-24
1659997427 Michaele Renee Trujillo Peer Specialist 5410 N 44th St, Tacoma, WA 98407-3799 2020-06-17
1083238307 Juliana Desiree Darlene Amesquita Peer Specialist 5410 N 44th St, Tacoma, WA 98407-3799 2020-06-02
1518589985 Doris Jean Tucker Peer Specialist 721 Fawcett Ave, Tacoma, WA 98402-5502 2020-05-08
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98402

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Dataset Information

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.

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