Provider Demographics
NPI:1629684501
Name:GODBEE, CATECIA MONTAE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATECIA
Middle Name:MONTAE
Last Name:GODBEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 WYNFIELD TRCE
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4564
Mailing Address - Country:US
Mailing Address - Phone:470-721-6650
Mailing Address - Fax:
Practice Address - Street 1:1524 WYNFIELD TRCE
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-4564
Practice Address - Country:US
Practice Address - Phone:404-569-7418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0072601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical