Provider Demographics
NPI:1104010990
Name:GOOD COUNSELING INC.
Entity Type:Organization
Organization Name:GOOD COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STOYANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-663-7516
Mailing Address - Street 1:2221 NE 62ND ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2205
Mailing Address - Country:US
Mailing Address - Phone:954-663-7516
Mailing Address - Fax:954-229-0986
Practice Address - Street 1:2221 NE 62ND ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-2205
Practice Address - Country:US
Practice Address - Phone:954-663-7516
Practice Address - Fax:954-229-0986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL# SW 8733251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health