Provider Demographics
NPI:1255001798
Name:GOODSON, AARON TIMMONS (PHD, LCMHC, CMPC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:TIMMONS
Last Name:GOODSON
Suffix:
Gender:M
Credentials:PHD, LCMHC, CMPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 SW 191ST AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5446
Mailing Address - Country:US
Mailing Address - Phone:662-341-0772
Mailing Address - Fax:
Practice Address - Street 1:344 SW 191ST AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-5446
Practice Address - Country:US
Practice Address - Phone:662-341-0772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19417101YM0800X
MS2693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health