| Tekeisha Goggins, | |
|
105 Church St, Rainbow City, AL 35906-6242 | |
| (256) 452-4058 | |
| (256) 782-0054 |
| Full Name | Tekeisha Goggins |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 105 Church St, Rainbow City, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891200903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4090C (Alabama) | Primary |
| Entity Name | Quality Of Life Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Tekeisha Goggins, 105 Church St, Rainbow City, AL 35906-6242 Ph: () - | Tekeisha Goggins, 105 Church St, Rainbow City, AL 35906-6242 Ph: (256) 452-4058 |
Emily Hamilton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 E Grand Ave Ste E, Rainbow City, AL 35906 Phone: 256-906-9494 | |
Mrs. Bridgette Marie Wilson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3644 Rainbow Dr, Rainbow City, AL 35906 Phone: 256-613-2678 | |
Leslie Marie Wells, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3644 Rainbow Dr, Rainbow City, AL 35906 Phone: 256-490-6878 |