Provider Demographics
NPI:1336617794
Name:GOINS, BETH ANN
Entity Type:Individual
Prefix:MISS
First Name:BETH
Middle Name:ANN
Last Name:GOINS
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 1:2301 E MICHIGAN AVE STE 219
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3786
Mailing Address - Country:US
Mailing Address - Phone:517-782-0010
Mailing Address - Fax:517-782-9695
Practice Address - Street 1:2301 E MICHIGAN AVE STE 219
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-3786
Practice Address - Country:US
Practice Address - Phone:517-782-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-04
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker