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Contact Information

SUMMER L GODBOLT
3379 LAUREN FIELDS DRIVE SOUTH
COLUMBUS, OH43215
 Phone: 317-366-1582
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for SUMMER L GODBOLT · (Female)

NPI # 1114705019
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2023
Last updated 02/09/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 194492
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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