Individual provider · Type 1 NPI

Mallory Nicole Goodwin, LPC

Professional Counselor · Fort Worth, TX

NPI number 1013721612 Active

Practice location

3840 Hulen St
Fort Worth, TX 76107-7277

Call (817) 335-3022 Map

Mailing address

PO Box 2603
Fort Worth, TX 76113-2603

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X93276 (TX)

Professional Counselor: Definition to come...

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About NPI 1013721612

Mallory Nicole Goodwin, LPC's National Provider Identifier is 1013721612, issued on Feb 4, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 23, 2026.