Provider Demographics
NPI:1871129353
Name:GOOD, SAMANTHA (MA, LPCC-S)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:GOOD
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 CHIPPEWA RD STE 310
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2319
Mailing Address - Country:US
Mailing Address - Phone:216-282-5008
Mailing Address - Fax:
Practice Address - Street 1:7650 CHIPPEWA RD STE 310
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2319
Practice Address - Country:US
Practice Address - Phone:216-282-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2001775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health