Provider Demographics
NPI:1902867757
Name:GOZA, DEBORAH J (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:J
Last Name:GOZA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2916 CYPRESS ST.
Mailing Address - Street 2:STE 2, PMB #139
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291
Mailing Address - Country:US
Mailing Address - Phone:318-303-2626
Mailing Address - Fax:318-495-8301
Practice Address - Street 1:775 OLE HWY 15, #61
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291
Practice Address - Country:US
Practice Address - Phone:318-303-2626
Practice Address - Fax:318-495-8301
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2267174400000X
LA9822101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174400000XOther Service ProvidersSpecialist