Provider Demographics
NPI:1104283803
Name:GODSEY, ELIZABETH (LPCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GODSEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:KOGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:300 HOLMES AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-1839
Mailing Address - Country:US
Mailing Address - Phone:606-679-6995
Mailing Address - Fax:
Practice Address - Street 1:600 CLIFTY ST STE 2
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-1710
Practice Address - Country:US
Practice Address - Phone:606-678-0026
Practice Address - Fax:606-678-0047
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY245518101YM0800X
KYLPCCCA00224180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health