Provider Demographics
NPI:1235457953
Name:GOFF, LASHELLE LYNN (MS)
Entity Type:Individual
Prefix:
First Name:LASHELLE
Middle Name:LYNN
Last Name:GOFF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 N OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:ATOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74525-2040
Mailing Address - Country:US
Mailing Address - Phone:580-889-8758
Mailing Address - Fax:580-889-8758
Practice Address - Street 1:206 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-2040
Practice Address - Country:US
Practice Address - Phone:580-889-8758
Practice Address - Fax:580-889-8758
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor