| Golden Girl, Inc. | |
|
709 Main Street Ceredo WV 25507-2550 | |
| (304) 453-1401 | |
| (304) 453-6273 |
| Full Name | Golden Girl, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 709 Main Street, Ceredo, West Virginia |
| Authorized Official Name and Position | Renee Harrison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3044531401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Girl, Inc. Po Box 876 Ceredo WV 25507-0876 Ph: (304) 453-1401 | Golden Girl, Inc. 709 Main Street Ceredo WV 25507-2550 Ph: (304) 453-1401 |
| NPI Number | 1760248058 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760248058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Oncall Health And Aesthetic Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 C Street, Ceredo, WV 25507 Phone: 304-908-1204 Fax: 304-908-1224 |