Randall R Godwin M.ED., LISAC, MAC

  • NPI 1205160108
According to our database, the NPI number for Randall R Godwin M.ED., LISAC, MAC is 1205160108 and activated since 14 years ago. Randall R Godwin M.ED., LISAC, MAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 20 E Thomas Rd Ste 2200, Phoenix, AZ 85012. You can also contact Randall R Godwin M.ED., LISAC, MAC via telephone number is (844) 843-7279. Provider NPI information was last updated on 09/14/2020.

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Overview of Randall R Godwin M.ED., LISAC, MAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/24/2009
  • Last updated: 09/14/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: LISAC-11869
  • License State: AZ

Provider Mailing Address

  • Address: 2 Acr 3116
    Show Low, AZ 85901
  • Phone: 480-388-2301
  • Fax:

Provider Practice Location

  • Address: 20 E Thomas Rd Ste 2200
    Phoenix, AZ 85012
  • Phone: 844-843-7279
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: LISAC-1186
  • License State: AZ
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Randall R Godwin M.ED., LISAC, MAC?
  • A: The npi number for Randall R Godwin M.ED., LISAC, MAC is 1205160108.
  • Q: What are Randall R Godwin M.ED., LISAC, MAC's specialties?
  • A: Randall R Godwin M.ED., LISAC, MAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Randall R Godwin M.ED., LISAC, MAC?
  • A: The medical license number for Randall R Godwin M.ED., LISAC, MAC is LISAC-11869 and issued in AZ in USA.
  • Q: Where is Randall R Godwin M.ED., LISAC, MAC practice location?
  • A: Randall R Godwin M.ED., LISAC, MAC is practicing at 20 E Thomas Rd Ste 2200, Phoenix, AZ 85012.
  • Q: How to contact Randall R Godwin M.ED., LISAC, MAC?
  • A: You can contact Randall R Godwin M.ED., LISAC, MAC via 844-843-7279.
Medicare Specialty
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Addiction Medicine
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