MEDICARE: AMANDA GOSLIN LMFT, LLC

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1669335584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMANDA GOSLIN LMFT, LLC

Provider Business Mailing Address
First Line	:	1150 5TH ST STE 261
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 5TH ST STE 261
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2914
Country	:	US
Telephone Number	:	319-432-4108
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMANDA GOSLIN
Credential	:
Telephone Number	:	319-338-3862

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “AMANDA GOSLIN LMFT, LLC ” Practice Location

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