Provider Demographics
NPI:1891999017
Name:GODBEY, JAMES E (DMIN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:GODBEY
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SOULE ST
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-2558
Mailing Address - Country:US
Mailing Address - Phone:620-227-2503
Mailing Address - Fax:
Practice Address - Street 1:210 SOULE ST
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2558
Practice Address - Country:US
Practice Address - Phone:620-227-2503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2568106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist