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General NPI Number Information
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NPI Number | 1912870767
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Entity Type | Organization
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Legal Business Name | GOSHEN HEALTH
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 100 SEAGRAVES DRIVE BUILDING 3 SUIT A
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City | ATHENS
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State | GA
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Zip | 30605
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Country | US
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Telephone | 470-295-2697
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SEAGRAVES DR STE 3
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City | ATHENS
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State | GA
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Zip | 30605-2492
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Country | US
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Telephone | 470-295-2697
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SALLY MANYOR ARREY
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Credential | APRN, PMHNP-BC
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Telephone | 470-295-2697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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