Provider Demographics
NPI:1578346714
Name:GOLDENLEAF COUNSELING PLLC
Entity Type:Organization
Organization Name:GOLDENLEAF COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:828-391-0611
Mailing Address - Street 1:336 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:VA
Mailing Address - Zip Code:24586-2236
Mailing Address - Country:US
Mailing Address - Phone:828-764-1347
Mailing Address - Fax:
Practice Address - Street 1:336 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:VA
Practice Address - Zip Code:24586-2236
Practice Address - Country:US
Practice Address - Phone:828-764-1347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty