Provider Demographics
NPI:1730234659
Name:GOYETTE, ELLEN MARGRET (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:MARGRET
Last Name:GOYETTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 SUMMER ST.
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830
Mailing Address - Country:US
Mailing Address - Phone:603-289-2731
Mailing Address - Fax:603-489-1622
Practice Address - Street 1:71 SUMMER ST.
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830
Practice Address - Country:US
Practice Address - Phone:603-289-2731
Practice Address - Fax:603-489-1622
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1674101YM0800X
225C00000X
MA938225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor