Michael Goodman, LMFT
Individual provider Active NPI Marriage & Family Therapist · Hurricane, UT
NPI 1558079731 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1558079731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 13052738-3904 (UT)
- Practice address
- 325 W 600 N
Hurricane, UT 84737-1682 - Phone
- (855) 587-1416
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13052738-3904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liahona Academy for Youth, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 13052738-3904 | UT | Yes |
Addresses
Primary practice location
325 W 600 N
Hurricane, UT 84737-1682
Mailing address
5845 S Sirius Way
St George, UT 84790-1318
Phone (435) 231-4676
Other providers in Hurricane, UT
- Amber Fox McNeil
- Tara McMullin Freiberg
- Rebecca Galvez
- Wyatt Garrett
- Lisa Dawn Gaudin-Simon
- Grey Wind LLC
- Grondel Therapy
- Calin Garth Gubler
- Tory Ann Gubler
- Troy Cal Gubler
All providers in Hurricane, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.