| Organization Name: | GODDARD CONSULTING |
| NPI Number: | 1083860332 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TYLER GODDARD (OWNER/THERAPIST) |
| Mailing Address: | 203 E Cobblecreek Dr Suite 201 Cedar City |
| State: | UT US |
| Postal Code: | 847218901 |
| Phone Number: | 4352252422 |
| Fax Number: | 8668335153 |
| NPI Enumeration Date: | 08/18/2008 |
| NPI Last Update Date: | 10/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3732143501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |