Brandon Lee Goodly - Lake Charles, LA

Brandon Lee Goodly

Peer Specialist in Lake Charles, Louisiana

NPI 1104448612

Brandon Lee Goodly is a Peer Specialist based in Baton Rouge, LA. Brandon Lee Goodly practices in Lake Charles, LA. The NPI Number for Brandon Lee Goodly is 1104448612 and holds a License No. (Louisiana).

The current practice location address for Brandon Lee Goodly is 751 Bayou Pines East Dr Ste C, Lake Charles, LA and can be reached out via phone at 337-433-3292.

Location: 751 Bayou Pines East Dr Ste C, Lake Charles, LA, 70806-4803

NPI Number

1104448612

Provider Name

Brandon Lee Goodly

Credential

Provider Entity Type

Individual

Gender

Male

Address

751 Bayou Pines East Dr Ste C, Lake Charles, LA, 70806-4803

Phone Number

337-433-3292

Fax Number

Provider Enumeration Date

05/07/2020

Last Update Date

03/10/2024

Address

751 Bayou Pines East Dr Ste C

City

Lake Charles

State

Louisiana

Zip

70601-7196

Phone Number

337-433-3292

Fax Number

Address

751 Bayou Pines East Dr Ste C

City

Lake Charles

State

Louisiana

Zip

70601-7196

Phone Number

337-433-3292

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

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Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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