Healthcare Provider Details

I. General information

NPI: 1003067430
Provider Name (Legal Business Name): DONITA K GOODIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: INSIGHTS AND ACTIONS LPC

II. Dates (important events)

Enumeration Date: 10/03/2008
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 S AIR DEPOT BLVD
MIDWEST CITY OK
73110-4870
US

IV. Provider business mailing address

1212 S AIR DEPOT BLVD STE 23
MIDWEST CITY OK
73110-4860
US

V. Phone/Fax

Practice location:
  • Phone: 405-464-9536
  • Fax:
Mailing address:
  • Phone: 405-464-9536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3863
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: