Provider Demographics
NPI:1356508345
Name:GOOD, LINDA M (LPC/MHSP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:GOOD
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 ALTA TREE BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2795
Mailing Address - Country:US
Mailing Address - Phone:423-926-5100
Mailing Address - Fax:423-926-5102
Practice Address - Street 1:403 PRINCETON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2056
Practice Address - Country:US
Practice Address - Phone:423-926-5100
Practice Address - Fax:423-926-5102
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor