MEDICARE: MRS. AMY CHARLEEN GOUDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1528924123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY CHARLEEN GOUDY

Provider Business Mailing Address
First Line	:	17127 SALEM ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-3608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17127 SALEM ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-3608
Country	:	US
Telephone Number	:	313-655-9391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

Similar Medicare Providers

1043109382 — RHONDA WHITE
Practice Location Address:

1694 W BUENA VISTA ST
DETROIT, MI
48238-3608

Practice Phone: 947-258-5712
Practice Fax:

1003772773 — RACHEAL A LANIER
Practice Location Address:

16219 WORMER ST
DETROIT, MI
48219-5810

Practice Phone: 313-518-9618
Practice Fax:

1942263843 — DR. IRVIN J. GASTMAN DO, PHD
Practice Location Address:

20901 W 7 MILE RD
DETROIT, MI
48219-1904

Practice Phone: 313-564-5510
Practice Fax: 248-336-9137

1407012834 — HENRI GODBOLD M.D
Practice Location Address:

20901 W 7 MILE RD
DETROIT, MI
48219-1904

Practice Phone: 313-564-5510
Practice Fax: 248-581-8839

1992202790 — MR. BRYAN ADAM HNATIO PA-C
Practice Location Address:

20901 W 7 MILE RD
DETROIT, MI
48219-1904

Practice Phone: 313-564-5510
Practice Fax: 248-336-9137

1518626902 — ROSILIN JOSEPH NP
Practice Location Address:

20901 W 7 MILE RD
DETROIT, MI
48219-1904

Practice Phone: 313-564-5510
Practice Fax: 248-336-9137

Directions to “ MRS. AMY CHARLEEN GOUDY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.