MS. TERE P GOODWIN LPC, NCC
NPI 1164793436
Counselor - Professional in Fayetteville, GA

Active since January 19, 2012
170 BASTILLE WAY, SUITE C, FAYETTEVILLE, GA 30214(770) 461-7010(770) 461-7100 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tere P Goodwin Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TERE P GOODWIN LPC, NCC (NPI 1164793436) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC004357) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1164793436
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TERE P GOODWINCredential: LPC, NCC
Location Address170 BASTILLE WAY, SUITE CFayetteville, GA 30214-7652
Mailing Address170 Bastille Way, Suite CFayetteville, GA 30214-7652 · (770) 461-7010 · Fax (770) 461-7100
Fax(770) 461-7100
Sole ProprietorNo
Enumeration DateJanuary 19, 2012
NPI 1164793436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC004357
Also ListedCounselor · SchoolTaxonomy 101YS0200X
170 BASTILLE WAY, Fayetteville, GA 30214

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Foster Care Agency
170 BASTILLE WAY, SUITE A
FAYETTEVILLE, GA 30214
Counselor (Professional)
170 BASTILLE WAY
FAYETTEVILLE, GA 30214
Chiropractor (Sports Physician)
170 BASTILLE WAY, SUITE A
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tere Goodwin's NPI number?

The NPI number for Tere Goodwin is 1164793436. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Tere Goodwin located?

Tere Goodwin practices at 170 Bastille Way Suite C, Fayetteville, GA 30214. The listed phone number is (770) 461-7010.

What is Tere Goodwin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tere Goodwin was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.