Goshen Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GOSHEN WELLNESS CENTER

Practice address

12801 Iron Bridge Rd Ste 100
Chester, VA 23831-1669

Phone

(804) 661-5886

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Valerie MackNPI 1891210514

Title

LCSW, Owner

Phone

(804) 514-2385

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie Mack, LCSW

  • Clinical Social Worker
  • Chester, VA
  • NPI 1891210514
  NPD Authorized official

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1699345553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 ABLE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328418",
            "telephone_number": "804-514-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD STE 100",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-661-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "804-514-2385"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Golub
• Julie Ann Goodman, NP
• Sean Martin Goodwin
• Trevene Gordon, M.A, LPC, CSAC
• Vincent M. Gore, M. D.
• Grace, Hope and Love Counseling Services
• Janice Denise Grady, FNP
• Elizabeth Graham, LCSW
• Grandslam Residential, LLC
• Jessica K Gray

• Community/Behavioral Health Agency in Chester, VA
• Providers in Chester, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.