NPIMap

Deborah J. Goza, LPC

Individual provider Active NPI Professional Counselor · Columbia, LA

NPI 1902867757 · NPPES record last updated Jul 2, 2024

Key facts

NPI
1902867757
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
9822 (LA)
Practice address
6907 Highway 165
Columbia, LA 71418-3500
Phone
(318) 649-6399
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9822LAMDProfessional Counselor
2267LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Development Center Behavioral Health Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2267 LA
Professional Counselor 101YP2500X 9822 LA Yes

Addresses

Primary practice location

6907 Highway 165
Columbia, LA 71418-3500

Mailing address

2916 Cypress St.
Ste 2, PMB #139
West Monroe, LA 71291
Phone (318) 303-2626

Other practice location 1

617 E Madison Ave
Bastrop, LA 71220-3833
Phone (318) 239-3890

Other practice location 2

775 Ole Hwy 15, #61
West Monroe, LA 71291
Phone (318) 303-2626

Other providers in Columbia, LA

All providers in Columbia, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.