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

Mrs. Latanya Goodwin

Individual provider Mental Illness Intermediate Care Facility · NPI 1639565179

Mrs. Latanya Goodwin is a Mental Illness Intermediate Care Facility in Winston Salem, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

558 Mission Rd
Winston Salem, NC 27103-1708
Phone: (502) 319-0455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Intermediate Care Facility (primary) Taxonomy 310500000X

Record details

NPI number1639565179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 11, 2015
Last updated in NPPESOctober 8, 2015

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