Healthcare Provider Details

I. General information

NPI: 1912032152
Provider Name (Legal Business Name): MEGHAN S GOODWIN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 E CHAPMAN AVE # 241
ORANGE CA
92869-3706
US

IV. Provider business mailing address

3024 E CHAPMAN AVE # 241
ORANGE CA
92869-3706
US

V. Phone/Fax

Practice location:
  • Phone: 714-616-4237
  • Fax:
Mailing address:
  • Phone: 714-616-4237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number43297
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: