Provider Demographics
NPI:1477265858
Name:GOODMAN, ARTHUR (LMSW)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-8834
Mailing Address - Country:US
Mailing Address - Phone:706-322-3773
Mailing Address - Fax:
Practice Address - Street 1:3150 PLATEAU DR LOT 303
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31903-5400
Practice Address - Country:US
Practice Address - Phone:706-322-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder