Individual
ELIZABETH GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
(234) 260-2713
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
(234) 260-2713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162582
OH
101YP2500X
Professional Counselor
Primary
C.2405774
OH
101YP2500X
Professional Counselor
Primary
E.2606589
OH
Other
Enumeration date
09/14/2020
Last updated
02/26/2026
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