Organization
GOODE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY OWENS GOODE M.A., LCSW, LMFT (PRESIDENT)
(574) 231-1480
Entity
Organization
Contact information
Practice address
4560 S IRONWOOD DR, SOUTH BEND, IN 46614-9595
(574) 231-1480
Mailing address
4560 S IRONWOOD DR, SOUTH BEND, IN 46614-9595
(574) 231-1480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34002903A
IN
101YM0800X
Mental Health Counselor
35000769A
IN
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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