Healthcare Provider Details

I. General information

NPI: 1679679021
Provider Name (Legal Business Name): GOODE COMMUNICATIONS, ETC.,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 THOMPSON AVE
WEST MEMPHIS AR
72301-3257
US

IV. Provider business mailing address

620 THOMPSON AVE
WEST MEMPHIS AR
72301-3257
US

V. Phone/Fax

Practice location:
  • Phone: 870-702-4911
  • Fax: 870-702-6386
Mailing address:
  • Phone: 870-702-4911
  • Fax: 870-702-6386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateAR

VIII. Authorized Official

Name: SHARON B GOODE
Title or Position: PRESIDENT
Credential: MSP,CCC-SLP
Phone: 870-702-4911