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Contact Information

LISA K GOODWIN, OCPS, CDCA, TTS
2115 W PARK DR
LORAIN, OH44053-1138
 Phone: 440-989-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LISA K GOODWIN · (Female)

NPI Number 1639530389
Status Active
Credentials OCPS, CDCA, TTS
Entity Individual
Enumeration date 03/09/2016
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # CDCA.140626
  • OH License # OCPS.161433
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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