| Doctor Name: | MRS. JIMMIE CALLAHAN GOSWICK |
| NPI Number: | 1356680268 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC002963 |
| Business Practice Address: | 654 Red Bud Rd Ne Calhoun, GA - 307011963 |
| Business Phone Number: | 7066020339 |
| Business Fax Number: | 7066029359 |
| Mailing Address: | Po Box 213, CALHOUN |
| State: | GA |
| Postal Code: | 307030213 |
| Phone Number: | 7066020339 |
| Fax Number: | 7066029359 |
| NPI Enumeration Date: | 02/12/2013 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LPC002963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |