Individual
MRS. AVANI ATUL GOODLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
10300 BROOKRIDGE VILLAGE BLVD STE 104, LOUISVILLE, KY 40291-4474
(502) 785-4322
(502) 785-4433
Mailing address
402 GLEN LAKES CT, LOUISVILLE, KY 40245-5319
(502) 592-5891
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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