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Stephanie Goodrum, LPC
Mental Health Counselor in Selmer, Tennessee
NPI 1972611788

Stephanie Goodrum is a Mental Health Counselor based in Selmer, TN and is specialized in Mental Health. Stephanie Goodrum practices in Selmer, TN and has the professional credentials of LPC. The NPI Number for Stephanie Goodrum is 1972611788 and holds a License No. LPC1677 (Tennessee).

The current practice location address for Stephanie Goodrum is 641 E Poplar Ave, Selmer, TN and can be reached out via phone at 731-645-5753 and via fax at 731-645-9885.

Location: 641 E Poplar Ave, Selmer, TN, 38375-6606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972611788
Provider Name
Stephanie Goodrum
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
641 E Poplar Ave, Selmer, TN, 38375-6606
Phone Number
731-645-5753
Fax Number
731-645-9885
Provider Enumeration Date
08/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4099873 01 TN BCBS PROVIDER NUMBER
572994000 05 TN
institution
Provider Business Practice Location Address Details
Address
641 E Poplar Ave
City
Selmer
State
Tennessee
Zip
38375-1828
Phone Number
731-645-5753
Fax Number
731-645-9885
person
Provider Business Mailing Address Details
Address
641 E Poplar Ave
City
Selmer
State
Tennessee
Zip
38375-1828
Phone Number
731-645-5753
Fax Number
731-645-9885
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC1677 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC 1677 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
LPC1677 (Tennessee)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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