Serena Gail Gooch
Individual provider Active NPI Mental Health Counselor · Ripley, TN
NPI 1669514733 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669514733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2322 Barlow Rd
Ripley, TN 38063-5868 - Phone
- (731) 635-3950
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2322 Barlow Rd
Ripley, TN 38063-5868
Mailing address
2322 Barlow Rd
Ripley, TN 38063-5868
Phone (731) 635-3950
Other providers in Ripley, TN
- Gail D Gause
- Cynthia H Glenn
- Pamela H Glenn
- Stephen Kenneth Goewey
- Cathryn Michelle Gonzalez
- Cindy M Greaves
- Lisa Desiree Harding
- Harper Eye Center PLLC
- James Matthew Harper
- Bradley R Harrell
All providers in Ripley, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.