Provider Demographics
NPI:1922575661
Name:GOERING, TOBI NICOLE (MS, MA)
Entity type:Individual
Prefix:MS
First Name:TOBI
Middle Name:NICOLE
Last Name:GOERING
Suffix:
Gender:F
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 GRANBY ST APT 117
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2626
Mailing Address - Country:US
Mailing Address - Phone:509-954-3382
Mailing Address - Fax:855-954-4564
Practice Address - Street 1:100 N HOWARD ST STE W
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0508
Practice Address - Country:US
Practice Address - Phone:509-954-3382
Practice Address - Fax:833-939-1995
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61002914101YM0800X
VA0701012818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health