Doctor Name: | MRS. GLENDA RUTH GOODWIN |
NPI Number: | 1275867533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 17655 |
Business Practice Address: | 409 N Smythe St Bowie, TX - 762304826 |
Business Phone Number: | 9403897675 |
Business Fax Number: | 9404279771 |
Mailing Address: | Po Box 488, ALVORD |
State: | TX |
Postal Code: | 762250488 |
Phone Number: | 9403897675 |
Fax Number: | 9404279771 |
NPI Enumeration Date: | 09/18/2009 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 17655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |