| Doctor Name: | MS. AMY A GOODWIN |
| NPI Number: | 1073708590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CACIII |
| License Number: | 6584 |
| Business Practice Address: | 810 Lincoln Ave Steamboat Springs, CO - 804875005 |
| Business Phone Number: | 9708797637 |
| Business Fax Number: | |
| Mailing Address: | Po Box 882917, 810 Lincoln Ave STEAMBOAT SPRINGS |
| State: | CO |
| Postal Code: | 804882917 |
| Phone Number: | 9708797637 |
| Fax Number: | |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6584 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |