Provider Demographics
NPI:1922112770
Name:GOOD, ROBERT JOHN (LPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:GOOD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 UNION DR
Mailing Address - Street 2:
Mailing Address - City:CLIMAX SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65324-2237
Mailing Address - Country:US
Mailing Address - Phone:972-943-0400
Mailing Address - Fax:972-943-0500
Practice Address - Street 1:428 UNION DR
Practice Address - Street 2:
Practice Address - City:CLIMAX SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65324-2237
Practice Address - Country:US
Practice Address - Phone:972-943-0400
Practice Address - Fax:972-943-0500
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023050846101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional