Provider Demographics
NPI:1760198238
Name:GOLAY HEALTH VENTURES LLC
Entity Type:Organization
Organization Name:GOLAY HEALTH VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-356-0508
Mailing Address - Street 1:3713 SOVEREIGN LN
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7628
Mailing Address - Country:US
Mailing Address - Phone:804-356-0508
Mailing Address - Fax:
Practice Address - Street 1:100 CONCOURSE BLVD STE 111
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5642
Practice Address - Country:US
Practice Address - Phone:804-356-0508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty