Provider Demographics
NPI:1033655352
Name:GODINES, ANN MARIE (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:GODINES
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 EVERHART RD STE 107
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3981
Mailing Address - Country:US
Mailing Address - Phone:361-442-2211
Mailing Address - Fax:361-442-2335
Practice Address - Street 1:4949 EVERHART RD STE 107
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3981
Practice Address - Country:US
Practice Address - Phone:361-442-2211
Practice Address - Fax:361-442-2335
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX934050101YP2500X
TX68194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional