| Golden Therapy Llc | |
|
4375 Us Highway 17 Ste 103 Fleming Island FL 32003-4832 | |
| (904) 269-0886 | |
| Not Available |
| Full Name | Golden Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4375 Us Highway 17 Ste 103, Fleming Island, Florida |
| Authorized Official Name and Position | Heather M. Mcdonald (THERAPIST) |
| Authorized Official Contact | 9047148477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Therapy Llc 1770 Long Slough Walk Fleming Island FL 32003-7033 Ph: (904) 714-8477 | Golden Therapy Llc 4375 Us Highway 17 Ste 103 Fleming Island FL 32003-4832 Ph: (904) 269-0886 |
| NPI Number | 1245065473 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 1658812672 |
|---|---|
| Medicare Enrollment ID | O20240918001145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245065473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Heather M Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437511854 PECOS PAC ID: 7618418633 Enrollment ID: I20240918001322 |
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