| Doctor Name: | CHARLES WILLIAM GOOD |
| NPI Number: | 1205987096 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC OF GEORGIA |
| License Number: | 000460 |
| Business Practice Address: | 215 Savannah St W Suite - D Toccoa, GA - 305772301 |
| Business Phone Number: | 7068861335 |
| Business Fax Number: | 7068860910 |
| Mailing Address: | 108 Sycamore Cir, TOCCOA |
| State: | GA |
| Postal Code: | 305773728 |
| Phone Number: | 7068865982 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |