Provider Demographics
NPI:1073373940
Name:GOINS, VANESSA (CMS, QMHS)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:GOINS
Suffix:
Gender:F
Credentials:CMS, QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 PIKE ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-3522
Mailing Address - Country:US
Mailing Address - Phone:740-856-1084
Mailing Address - Fax:
Practice Address - Street 1:1017 PIKE ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3522
Practice Address - Country:US
Practice Address - Phone:740-856-1084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator