| Golay Health Ventures Llc | |
|
100 Concourse Blvd Ste 111 Glen Allen VA 23059-5642 | |
| (804) 356-0508 | |
| Not Available |
| Full Name | Golay Health Ventures Llc |
|---|---|
| Speciality | Counselor |
| Location | 100 Concourse Blvd Ste 111, Glen Allen, Virginia |
| Authorized Official Name and Position | Scott Golay (PRESIDENT) |
| Authorized Official Contact | 8043560508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golay Health Ventures Llc 3713 Sovereign Ln Henrico VA 23233-7628 Ph: (804) 356-0508 | Golay Health Ventures Llc 100 Concourse Blvd Ste 111 Glen Allen VA 23059-5642 Ph: (804) 356-0508 |
| NPI Number | 1760198238 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 1355703257 |
|---|---|
| Medicare Enrollment ID | O20230809001528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760198238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deborah Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124419171 PECOS PAC ID: 6901283068 Enrollment ID: I20230811003093 |
| Provider Name | Ariane C Raines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821231010 PECOS PAC ID: 4688957459 Enrollment ID: I20240123004853 |
| Provider Name | Natalia Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689240814 PECOS PAC ID: 2466898192 Enrollment ID: I20240315001890 |
| Provider Name | Derek Sean Joyce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164193348 PECOS PAC ID: 4183060858 Enrollment ID: I20240315003669 |
| Provider Name | Alyssa J Kleva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841914231 PECOS PAC ID: 7214376078 Enrollment ID: I20240412004217 |
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