Provider Demographics
NPI:1710222849
Name:GOLDEN, NANCY (LPC, LPE-I)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:LPC, LPE-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 MESQUITE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4174
Mailing Address - Country:US
Mailing Address - Phone:501-681-2281
Mailing Address - Fax:
Practice Address - Street 1:9601 BAPTIST HEALTH DR STE 1050
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6379
Practice Address - Country:US
Practice Address - Phone:501-228-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR11-08EI101YM0800X
ARP2205017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health