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General NPI Number Information
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NPI Number | 1932137999
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Entity Type | Individual
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Provider Name | TIMOTHY OWENS GOODE LCSW, LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 401 E 8TH ST SUITE A
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City | ROCHESTER
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State | IN
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Zip | 46975-1443
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Country | US
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Telephone | 574-223-8565
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Fax | 574-223-8786
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Provider Business Mailing Address
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Address Line | 1015 MICHIGAN AVE
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City | LOGANSPORT
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State | IN
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Zip | 46947-1526
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Country | US
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Telephone | 574-722-5151
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Fax | 574-223-8786
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34002903A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35000769A
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License Number State | IN
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