Healthcare Provider Details

I. General information

NPI: 1134606247
Provider Name (Legal Business Name): ROBERT GOODMAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2018
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WASHINGTON ST STE 201
STEUBENVILLE OH
43952-2188
US

IV. Provider business mailing address

501 WASHINGTON ST STE 201
STEUBENVILLE OH
43952-2188
US

V. Phone/Fax

Practice location:
  • Phone: 740-278-7266
  • Fax:
Mailing address:
  • Phone: 740-278-7266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.1700205
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1700205
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404262
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: