DESTINY ROSE GOODSON CSAC SUPERVISEE
NPI 1295438984
Counselor - Addiction (Substance Use Disorder) in Grundy, VA
About Destiny Rose Goodson Csac Supervisee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESTINY ROSE GOODSON CSAC SUPERVISEE (NPI 1295438984) is an individual addiction (substance use disorder) provider in Grundy, Virginia, licensed in Virginia (0709025109) and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
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.
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 Destiny Goodson's NPI number?
The NPI number for Destiny Goodson is 1295438984. It was assigned to this individual provider in the NPPES registry on March 23, 2023.
Where is Destiny Goodson located?
Destiny Goodson practices at 1520 Slate Creek Rd Ste 201, Grundy, VA 24614. The listed phone number is (276) 242-2001.
What is Destiny Goodson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Destiny Goodson was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Destiny Rose Goodson, CSAC SUPERVISEE · NPI 1295438984
Addiction (Substance Use Disorder) provider in Grundy, Virginia. Individual provider, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1295438984 (Entity type: Individual)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 0709025109 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 SLATE CREEK RD STE 201, Grundy, VA 24614-6975
- **Phone:** (276) 242-2001
## Record status
- **NPPES last updated:** March 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295438984) · Data from the CMS NPPES public registry.