Healthcare Provider Details

I. General information

NPI: 1922322668
Provider Name (Legal Business Name): DEBORAH R GOODWIN MA, LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 MAITLAND CENTER COMMONS BLVD STE 215
MAITLAND FL
32751-7435
US

IV. Provider business mailing address

1061 MAITLAND CENTER COMMONS BLVD STE 215
MAITLAND FL
32751-7435
US

V. Phone/Fax

Practice location:
  • Phone: 407-260-6181
  • Fax:
Mailing address:
  • Phone: 407-260-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9472
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMH9472
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: