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

Shanise Goodwin, LMFTA

Individual provider Marriage & Family Therapist · NPI 1639825987

Shanise Goodwin, LMFTA is a Marriage & Family Therapist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

521 Clanton Rd
Charlotte, NC 28217-1369
Phone: (704) 755-0150
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 12404A (NC)

Record details

NPI number1639825987
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFTA
Sole proprietorYes
NPI enumeratedFebruary 25, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

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