Individual
AMY CARLISLE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2408 ENFIELD RD, #213, AUSTIN, TX 78703
(512) 457-8131
Mailing address
2408 ENFIELD RD, #213, AUSTIN, TX 78703-3282
(512) 457-8131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16193
TX
Other
Enumeration date
02/19/2007
Last updated
05/25/2018
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