Provider Demographics
NPI:1982112751
Name:GOFF, BRIANA S (LCMFT)
Entity Type:Individual
Prefix:DR
First Name:BRIANA
Middle Name:S
Last Name:GOFF
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:DR
Other - First Name:BRIANA
Other - Middle Name:S
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1506 BROWNING PL STE 107
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-7485
Mailing Address - Country:US
Mailing Address - Phone:785-539-5455
Mailing Address - Fax:
Practice Address - Street 1:1506 BROWNING PL STE 107
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-7485
Practice Address - Country:US
Practice Address - Phone:785-539-5455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty