Provider Demographics
NPI:1114680691
Name:GOLDEN HOPE THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:GOLDEN HOPE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKIRAH
Authorized Official - Middle Name:P
Authorized Official - Last Name:EWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:862-414-2214
Mailing Address - Street 1:4075 LINGLESTOWN RD # 172
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1020
Mailing Address - Country:US
Mailing Address - Phone:862-414-2214
Mailing Address - Fax:
Practice Address - Street 1:100 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401
Practice Address - Country:US
Practice Address - Phone:862-414-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty