Provider Demographics
NPI:1518749720
Name:GOLDEN SUNSHINE CONSULTING
Entity Type:Organization
Organization Name:GOLDEN SUNSHINE CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SULLIVAN-SIMENSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:703-867-3647
Mailing Address - Street 1:10408 COURTHOUSE RD # 1044
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1712
Mailing Address - Country:US
Mailing Address - Phone:540-358-8725
Mailing Address - Fax:540-242-3426
Practice Address - Street 1:10500 WAKEMAN DR STE 105
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-8012
Practice Address - Country:US
Practice Address - Phone:540-358-8725
Practice Address - Fax:540-242-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care