National Provider Identifier

Godelieve Elisabeth Bain, LCSW-R

Godelieve Elisabeth Bain, LCSW-R is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 419-5791.

NPI 1053693861Rochester, NYMental Health Counselor

Profile Overview

NPI
1053693861
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 16, 2011
Last Updated
September 16, 2011

Practice Location

  • 50 Stanford Dr
  • Rochester, NY 14610-2340

Phone: (585) 419-5791

Mailing Address

  • 145 Park Ln
  • Rochester, NY 14625-2072

Specialties

  • Mental Health Counselor (101YM0800X)
  • Professional Counselor (101YP2500X)
Full Record
NPI
1053693861
Entity Type
Individual
Last Name
Bain
First Name
Godelieve
Middle Name
Elisabeth
Name Prefix
Mrs.
Credential
LCSW-R
Mailing Street Address
145 Park Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2072
Mailing Country
US
Mailing Phone
(585) 419-5791
Practice Street Address
50 Stanford Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-2340
Practice Country
US
Practice Phone
(585) 419-5791
Enumeration Date
September 16, 2011
Last Updated
September 16, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Professional Counselor (101YP2500X)