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Antoinette Gooden, LPC,NCC,MAC,ACS
Professional Counselor in Douglasville, Georgia
NPI 1659552651

Antoinette Gooden is a Professional Counselor based in Douglasville, GA and is specialized in Professional. Antoinette Gooden practices in Douglasville, GA and has the professional credentials of LPC,NCC,MAC,ACS. The NPI Number for Antoinette Gooden is 1659552651 and holds a License No. MAC 508018 (Georgia).

The current practice location address for Antoinette Gooden is 6000 Stewart Parkway, Douglasville, GA and can be reached out via phone at 404-692-1014 and via fax at 404-393-1868.

Location: 6000 Stewart Parkway, Douglasville, GA, 30154-0030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659552651
Provider Name
Antoinette Gooden
Credential
LPC,NCC,MAC,ACS
Provider Entity Type
Individual
Gender
Female
Address
6000 Stewart Parkway, Douglasville, GA, 30154-0030
Phone Number
404-692-1014
Fax Number
404-393-1868
Provider Enumeration Date
11/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6000 Stewart Parkway
City
Douglasville
State
Georgia
Zip
30135-6777
Phone Number
404-692-1014
Fax Number
404-393-1868
person
Provider Business Mailing Address Details
Address
6000 Stewart Parkway
City
Douglasville
State
Georgia
Zip
30135-6777
Phone Number
404-692-1014
Fax Number
404-393-1868
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC005074 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
508018 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
SRS P12 683283 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
NCC 236587 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
MAC 508018 (Virginia)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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