Provider Demographics
NPI:1033802335
Name:G.O.A.L.S MENTAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:G.O.A.L.S MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:DREW
Authorized Official - Suffix:JR
Authorized Official - Credentials:QMHP
Authorized Official - Phone:804-497-6885
Mailing Address - Street 1:1307 RIVER WALK TER APT 302
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-6189
Mailing Address - Country:US
Mailing Address - Phone:804-497-6885
Mailing Address - Fax:
Practice Address - Street 1:1307 RIVER WALK TER APT 302
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-6189
Practice Address - Country:US
Practice Address - Phone:804-497-6885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health