Organization
ELIZABETH GOODMAN PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GOODMAN (LCSW)
(502) 544-2192
Entity
Organization
Contact information
Practice address
211 E LAKE ST STE 1A, ADDISON, IL 60101-2877
(312) 600-5196
Mailing address
120 KIMBERLY LN, LAKE FOREST, IL 60045-3889
(502) 544-2192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/22/2020
Last updated
06/12/2025
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