Provider Demographics
NPI:1275930661
Name:GOULD THERAPY INC.
Entity Type:Organization
Organization Name:GOULD THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-736-2550
Mailing Address - Street 1:11162 42ND RD N
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-9113
Mailing Address - Country:US
Mailing Address - Phone:561-736-2550
Mailing Address - Fax:561-790-6940
Practice Address - Street 1:200 KNUTH RD
Practice Address - Street 2:246
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4629
Practice Address - Country:US
Practice Address - Phone:561-736-2550
Practice Address - Fax:561-790-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW26001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4404Medicare PIN