Healthcare Provider Details

I. General information

NPI: 1831774025
Provider Name (Legal Business Name): CLAIRE GOODRUM MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8806 CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3135
US

IV. Provider business mailing address

8806 CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3135
US

V. Phone/Fax

Practice location:
  • Phone: 513-596-7155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2505760
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: