Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Rose Goodson, CSACSUPERVISEE

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295438984

Destiny Rose Goodson, CSACSUPERVISEE is an Addiction (Substance Use Disorder) Counselor in Grundy, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

1520 Slate Creek Rd Ste 201
Grundy, VA 24614-6975
Phone: (276) 242-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0709025109 (VA)

Record details

NPI number1295438984
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSACSUPERVISEE
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024