Doctor Name: | SYLVIA R. GOODNIGHT |
NPI Number: | 1184950370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 7371 |
Business Practice Address: | 400 Denim Dr Erwin, NC - 283392204 |
Business Phone Number: | 9108978930 |
Business Fax Number: | 9108978932 |
Mailing Address: | Po Box 489, ERWIN |
State: | NC |
Postal Code: | 283390489 |
Phone Number: | 9108978930 |
Fax Number: | 9108978932 |
NPI Enumeration Date: | 10/23/2009 |
NPI Last Update Date: | 10/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |