Provider Demographics
NPI:1346681806
Name:GOODEN, TIANA JOY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TIANA
Middle Name:JOY
Last Name:GOODEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HIGHLAND VILLAGE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-8105
Mailing Address - Country:US
Mailing Address - Phone:972-861-0060
Mailing Address - Fax:
Practice Address - Street 1:2000 HIGHLAND VILLAGE RD
Practice Address - Street 2:SUITE C
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-8105
Practice Address - Country:US
Practice Address - Phone:972-861-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX546761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical