KRISTY GOODWIN
NPI 1265035349
Counselor - Mental Health in Chicago, IL
Active since November 19, 2020
About Kristy Goodwin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTY GOODWIN (NPI 1265035349) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since November 2020.
NPPES Registry Identity
NPI1265035349
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTY GOODWIN
Location Address8407 S CONSTANCE AVEChicago, IL 60617-2218
Mailing Address8407 S Constance AveChicago, IL 60617-2218 · (312) 721-2471
Phone(312) 721-2471
Sole ProprietorNo
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1265035349 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8407 S CONSTANCE AVE, Chicago, IL 60617
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265035349, enumerated as an "individual" on November 19, 2020.
The provider is located at 8407 S CONSTANCE AVE CHICAGO, IL 60617 and the phone number is (312) 721-2471.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
