MEDICARE: LACHELLE G GOODRICH LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	76671	TX

General Provider Information

NPI Number	:	1447744578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACHELLE G GOODRICH LPC

Provider Business Mailing Address
First Line	:	1311 ROSEBROOK DR
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-7503
Country	:	US
Telephone Number	:	817-372-0353
Fax Number	:	817-585-4064

Provider Business Practice Location Address
First Line	:	1311 ROSEBROOK DR
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-7503
Country	:	US
Telephone Number	:	817-372-0353
Fax Number	:	817-585-4064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	12/16/2025

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Directions to “ LACHELLE G GOODRICH LPC” Practice Location

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