| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CASSANDRA GOODWYN | 1780442467 | 2024-03-10 |
Cassandra Goodwyn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780442467. Registration indicates Cassandra Goodwyn is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Cassandra Goodwyn LPC |
| Practice Office Address | 215 TEMPLE AVE COLONIAL HEIGHT, VA US |
| Practice Office Telephone | 8888086050 |
| Mailing Address | 6401 WILLOW LANDING WAY CHESTER, VA 238317805 US |
| Business Telephone | 8048731686 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1 Park West Cir Ste 306C | Midlothian, VA 231145552 | 8888086050 |
| 12000 Wyndham Lake Dr Ste B | Glen Allen, VA 230597072 | 8888086050 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 0701013308
VA |