Individual
MR. EDWARD MACK GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LMFT
Contact information
Practice address
1011 W LOOP 281, SUITE #7, LONGVIEW, TX 75604
(903) 297-3677
(903) 297-0708
Mailing address
3016 EVANGELINE, LONGVIEW, TX 75605
(903) 759-2541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10950
TX
106H00000X
Marriage & Family Therapist
Primary
518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3326LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/14/2006
Last updated
09/11/2025
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