Goodwill Industries of East Texas, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GOODWILL INDUSTRIES OF EAST TEXAS, INC.

Practice address

409 W Locust St
Tyler, TX 75702-5644

Phone

(903) 593-8438

NPI assigned

Jun 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Lewis

Title

Executive Director

Phone

(903) 593-8438

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1295148989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W LOCUST ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025644",
            "telephone_number": "903-593-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W LOCUST ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025644",
            "telephone_number": "903-593-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF EAST TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-593-8438"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Goodman
• Channa Terese Goodman, RN
• Nicole Goodman, ATC, LAT
• Claudia Goodsett
• Emieligh Taylor Goodson, SLPA
• Goodwill Industries of East Texas, Inc.
• Warren D Goodwin, CCP
• Tiffany Goodwyn, PTA
• Judy Carolyn Googins, MD
• Seth Lyle Goolsbee, OD

• Community/Behavioral Health Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.