Provider Demographics
NPI:1740465681
Name:GOODWIN, CHERI LYNAE (LPC, CAC III)
Entity type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:LYNAE
Last Name:GOODWIN
Suffix:
Gender:F
Credentials:LPC, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 DTC PKWY
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3045
Mailing Address - Country:US
Mailing Address - Phone:203-793-7597
Mailing Address - Fax:833-477-7356
Practice Address - Street 1:5445 DTC PKWY
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3045
Practice Address - Country:US
Practice Address - Phone:303-800-4605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.006854101YA0400X
COLPC.0011698101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)