Provider Demographics
NPI:1528313673
Name:GOINS COUNSELING & PSYCHOTHERAPY PLLC
Entity type:Organization
Organization Name:GOINS COUNSELING & PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:FULGENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA-GOINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:239-273-3960
Mailing Address - Street 1:2980 18TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-4635
Mailing Address - Country:US
Mailing Address - Phone:239-273-3960
Mailing Address - Fax:
Practice Address - Street 1:2980 18TH AVE SE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34117-4635
Practice Address - Country:US
Practice Address - Phone:239-273-3960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty