Provider Demographics
NPI:1083072524
Name:GOLDEN RULE COUNSELING, PLLC
Entity Type:Organization
Organization Name:GOLDEN RULE COUNSELING, PLLC
Other - Org Name:GOLDEN RULE COUNSELING, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAROTHERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:618-875-9355
Mailing Address - Street 1:PO BOX 6152
Mailing Address - Street 2:
Mailing Address - City:EAST SAINT LOUIS
Mailing Address - State:IL
Mailing Address - Zip Code:62202-6152
Mailing Address - Country:US
Mailing Address - Phone:618-875-9355
Mailing Address - Fax:
Practice Address - Street 1:10314 LINCOLN TRL STE 106
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-1801
Practice Address - Country:US
Practice Address - Phone:618-875-9355
Practice Address - Fax:630-425-8900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0173301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty