Individual ProviderRoger GouldCounselorBehavioral Health & Social Service ProvidersPractice Address2000 W Mcintosh Rd, Griffin, GA 30223-6265(678) 688-3133PECOS EnrollmentBased on the most recent information from CMS, provider Roger Gould does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437447786Provider TypeIndividualFull NameGould, RogerTitleMr.CredentialMAGenderMaleSole ProprietorYesEnumeration Date7/20/2011Last Updated7/20/2011Contact InformationPractice LocationPractice Address2000 W Mcintosh Rd, Griffin, GA 30223-6265Phone(678) 688-3133Fax(678) 688-3134Mailing LocationMailing Address2000 W Mcintosh Rd, Griffin, GA 30223-6265Phone(678) 688-3133Fax(678) 688-3134Provider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer