Provider Demographics
NPI:1083374391
Name:GOOTEE, ELIZABETH
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GOOTEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4273 METROPOLITAN DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-1839
Mailing Address - Country:US
Mailing Address - Phone:440-554-0163
Mailing Address - Fax:
Practice Address - Street 1:24600 DETROIT RD STE 265
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2542
Practice Address - Country:US
Practice Address - Phone:440-742-1661
Practice Address - Fax:949-437-2034
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health