Individual provider · Type 1 NPI

John Wesley Goodwin Iii, LCMHC

Mental Health Counselor · Charlotte, NC

NPI number 1720619679 Active

Practice location

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068

Call (704) 412-1407 Map

Fax (704) 971-9192

Mailing address

5015 Stowe Derby Dr
Charlotte, NC 28278-7377

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X15374 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1720619679

John Wesley Goodwin Iii, LCMHC's National Provider Identifier is 1720619679, issued on Jan 30, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Sep 9, 2025.