Individual
JOY GOODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNP-PMH, LCPC
Contact information
Practice address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(410) 905-4948
Mailing address
103 LOCUST DR, BALTIMORE, MD 21207-6021
(410) 905-4948
(410) 594-1732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC1643
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R258039
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011104000
—
MD
Enumeration date
11/28/2006
Last updated
07/21/2025
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