Provider Demographics
NPI:1518343227
Name:GOALS OF CARE, PLLC
Entity Type:Organization
Organization Name:GOALS OF CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NIKKALYNN
Authorized Official - Middle Name:F
Authorized Official - Last Name:DELAURENTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:931-444-5494
Mailing Address - Street 1:1960 MADISON ST # J296
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8063
Mailing Address - Country:US
Mailing Address - Phone:931-444-5494
Mailing Address - Fax:888-261-6219
Practice Address - Street 1:1960 MADISON ST # J296
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8063
Practice Address - Country:US
Practice Address - Phone:931-444-5494
Practice Address - Fax:888-261-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2144207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty