Provider / Organization | NPI | Date Certified |
---|---|---|
ERIN GOSS | 1063719730 | 2022-10-01 |
Erin Goss is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063719730. Registration indicates Erin Goss is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Erin Goss LPC, LADC |
Practice Office Address | 215 STATE ST STE 401 MUSKOGEE, OK US |
Practice Office Telephone | 9086838827 |
Practice Office Fax | 9186860902 |
Mailing Address | 215 STATE ST STE 401 MUSKOGEE, OK 744016626 US |
Business Telephone | 9186838827 |
Business Fax | 9186860902 |
Code | Practice | License No State |
---|---|---|
101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 1048
OK |
101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 4980
OK |
200527080A | MEDICAID | OK |