DR. ANGEL L. GOODEN LPC-MHSP PSYD NPI 1649985664

NPI Information

NPI: 1649985664
Provider Name: DR. ANGEL L. GOODEN, LPC-MHSP, PSYD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2738 DRY WELL CV
CORDOVA, TN
ZIP 38016
Phone: (469) 438-9276
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DR. Angel L. Gooden, LPC-MHSP, PSYD is a professional counselor in Cordova, TN. DR. Angel L. Gooden, LPC-MHSP, PSYD NPI is 1649985664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2738 DRY WELL CV
CORDOVA, TN
ZIP 38016-146
Phone: (469) 438-9276

The enumeration date for this NPI number is 1/16/2023 and was last updated on 1/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health	3729	TENNESSEE	No
3	171400000X	Health and Wellness Coach				No
4	171M00000X	Case Manager/Care Coordinator				No
5	101YP2500X	Counselor	Professional	3729	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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