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Lee Tyler Goodwin
Peer Specialist in Taylor, Michigan
NPI 1841063260

Lee Tyler Goodwin is a Peer Specialist based in Taylor, MI. Lee Tyler Goodwin practices in Taylor, MI. The NPI Number for Lee Tyler Goodwin is 1841063260 and holds a License No. (Michigan).

The current practice location address for Lee Tyler Goodwin is 20300 Superior Rd, Taylor, MI and can be reached out via phone at 734-785-7700.

Location: 20300 Superior Rd, Taylor, MI, 48180-6331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841063260
Provider Name
Lee Tyler Goodwin
Credential
Provider Entity Type
Individual
Gender
Male
Address
20300 Superior Rd, Taylor, MI, 48180-6331
Phone Number
734-785-7700
Fax Number
Provider Enumeration Date
11/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20300 Superior Rd
City
Taylor
State
Michigan
Zip
48180-6331
Phone Number
734-785-7700
Fax Number
person
Provider Business Mailing Address Details
Address
20300 Superior Rd
City
Taylor
State
Michigan
Zip
48180-6331
Phone Number
734-785-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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