| Doctor Name: | TIMOTHY GOODE |
| NPI Number: | 1003261207 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 5709 |
| Business Practice Address: | 9 Richland Medical Park Dr Ste 440 Columbia, SC - 292036859 |
| Business Phone Number: | 8034342767 |
| Business Fax Number: | 8034342850 |
| Mailing Address: | 9 Richland Medical Park Dr, Ste. 440 COLUMBIA |
| State: | SC |
| Postal Code: | 292036859 |
| Phone Number: | 8034342767 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2016 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |