Provider Demographics
NPI:1629106463
Name:GOLDEN, NANCY E (LPC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 WILTON ROYAL DR
Mailing Address - Street 2:#304
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-5580
Mailing Address - Country:US
Mailing Address - Phone:314-567-3874
Mailing Address - Fax:314-994-9988
Practice Address - Street 1:939 GARDENVIEW OFFICE PKWY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-5917
Practice Address - Country:US
Practice Address - Phone:314-432-1987
Practice Address - Fax:314-994-9988
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health