Individual provider · Type 1 NPI

Mary Lether Goodman

Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC

NPI number 1851123293 Active

Practice location

8506 Six Forks Rd Ste 202
Raleigh, NC 27615-3260

Fax (910) 500-5238

Mailing address

300 Lorease Dr
Dudley, NC 28333-9771

Other practice locations

  • 8506 Six Forks Rd Ste 202, Raleigh, NC 27615-3260 · (919) 297-2762

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2024062231 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1851123293

Mary Lether Goodman's National Provider Identifier is 1851123293, issued on Aug 15, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Raleigh, NC. The record was last updated on Feb 11, 2026.