Provider Information for 1518507094
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. SANDRA MILENA GOYCO LPC
Sex: Female
NPI: 1518507094
Last Updated: 2022-04-29
Certification Date: 2021-09-02
Certification Date: 2021-09-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518507094 | ||||||||
| Enumeration Date | 2020-01-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 526 KINGWOOD DR STE 345 KINGWOOD, TX 77339-4473 United States Phone: 833-446-7348 | Fax:833-446-7348 | ||||||||
| Primary Practice Address | 1203 S HOUSTON AVE HUMBLE, TX 77338 United States Phone: 833-446-7348 | Fax:833-446-7348 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|