Individual provider · Type 1 NPI

Taniesa L. Goodman

Counselor · Philadelphia, PA

NPI number 1609727262 Active

Practice location

4931 Wissahickon Ave Fl 3
Philadelphia, PA 19144-4800

Call (215) 385-5122 Map

Mailing address

210 W Crystal Lake Ave Apt 253D
Haddonfield, NJ 08033-3245

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1609727262

Taniesa L. Goodman's National Provider Identifier is 1609727262, issued on Feb 9, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 9, 2026.