Provider Demographics
NPI:1700378205
Name:GOODE, TOSHEIKA NASHIEH
Entity Type:Individual
Prefix:
First Name:TOSHEIKA
Middle Name:NASHIEH
Last Name:GOODE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4023 MOSS POINT DR
Mailing Address - Street 2:
Mailing Address - City:NORTH DINWIDDIE
Mailing Address - State:VA
Mailing Address - Zip Code:23803-6614
Mailing Address - Country:US
Mailing Address - Phone:804-621-9825
Mailing Address - Fax:
Practice Address - Street 1:4023 MOSS POINT DR
Practice Address - Street 2:
Practice Address - City:NORTH DINWIDDIE
Practice Address - State:VA
Practice Address - Zip Code:23803-6614
Practice Address - Country:US
Practice Address - Phone:804-621-9825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health