Organization
GOAL LINE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LLOYD BAUGHAM (QP)
(336) 471-0149
Entity
Organization
Contact information
Practice address
3511 SHANNON RD STE 358, DURHAM, NC 27707-6330
(919) 928-4204
Mailing address
3511 SHANNON RD STE 358, DURHAM, NC 27707-6330
(919) 928-4204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/26/2026
Last updated
08/17/2026
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