Provider Demographics
NPI:1235913518
Name:GOOD COMPANY COUNSELING AND COACHING, PLLC
Entity Type:Organization
Organization Name:GOOD COMPANY COUNSELING AND COACHING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:K
Authorized Official - Last Name:COMPANY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:217-430-6020
Mailing Address - Street 1:2002 HEDGEWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704
Mailing Address - Country:US
Mailing Address - Phone:217-430-6020
Mailing Address - Fax:
Practice Address - Street 1:322 SUSAN DRIVE SUITE C-1
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761
Practice Address - Country:US
Practice Address - Phone:217-430-6020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty