Provider Demographics
NPI:1508648775
Name:GOSSETT CONSULTING, PLLC
Entity Type:Organization
Organization Name:GOSSETT CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:GOSSETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-686-8478
Mailing Address - Street 1:15002 N 48TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2276
Mailing Address - Country:US
Mailing Address - Phone:602-686-8478
Mailing Address - Fax:
Practice Address - Street 1:15002 N 48TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2276
Practice Address - Country:US
Practice Address - Phone:602-686-8478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty