Individual
MS. AMY LYNN GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
3659 GREEN RD STE 101, BEACHWOOD, OH 44122-5715
(216) 401-7433
(855) 860-1978
Mailing address
3659 GREEN RD STE 101, BEACHWOOD, OH 44122-5715
(216) 401-7433
(855) 860-1978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.0602179
OH
101YM0800X
Mental Health Counselor
Primary
E.0602179-SUPV
OH
101YP2500X
Professional Counselor
E0602179 SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279728
—
OH
05
—
0450404
—
OH
Enumeration date
04/11/2008
Last updated
01/24/2022
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