Tere Goodwin, LPC, NCC

NPI 1164793436 · on the registry since 2012

Practice

Address: 170 Bastille Way
Suite C
Fayetteville, GA 30214
Phone: (770) 461-7010
Fax: (770) 461-7100
Organisation at this address: Hope Youth And Family Services Inc
Ginger Ridge Behavioral Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YS0200X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia