Provider Demographics
NPI:1558169698
Name:GOFF, JULIANA
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:GOFF
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 WATERMAN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CHEPACHET
Mailing Address - State:RI
Mailing Address - Zip Code:02814-2316
Mailing Address - Country:US
Mailing Address - Phone:401-256-3281
Mailing Address - Fax:
Practice Address - Street 1:15 FLEMING RD
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-3057
Practice Address - Country:US
Practice Address - Phone:401-462-4047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)