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Provider Information for 1487258364


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Dr. SALLY GOH Ph.D., LPC, NCC


Sex: Female

NPI: 1487258364
Last Updated: 2020-11-24
Certification Date: 2020-11-24

Details

NameValue
NPI1487258364
Enumeration Date2020-11-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1892 GRAVES MILL RD UNIT D
LYNCHBURG, VA 24502-5097
United States

Phone: 434-233-4080 | Fax:
 
Primary Practice Address 98 EDGEWOOD CT
LYNCHBURG, VA 24502-3285
United States

Phone: 434-233-4080 | Fax:
 
Secondary Practice Address(es)

1892 GRAVES MILL RD UNIT D
LYNCHBURG, VA 24502-5097
United States

Phone: 434-233-4080 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
CONNECT URL
Lynchburg
98 Edgewood Ct
Lynchburg, VA 24502-3285
United States
SOAP URL
Lynchburg
home
98 Edgewood Ct
Lynchburg, VA 24502-3285
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalGA010970
Yes 101YP2500X - Counselor - ProfessionalVA0701008863