Individual provider · Type 1 NPI

Logan Goodwin

Mental Health Counselor · Fayetteville, AR

NPI number 1700753589 Active

Practice location

2758 E Millennium Dr
Fayetteville, AR 72703-4798

Call (479) 430-2323 Map

Mailing address

55 Dogwood Ln
West Fork, AR 72774-3025

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA2510014 (AR)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1700753589

Logan Goodwin's National Provider Identifier is 1700753589, issued on Oct 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 17, 2025.