Provider Demographics
NPI:1790462612
Name:GOLDEN COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:GOLDEN COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHIMA
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC
Authorized Official - Phone:410-921-3128
Mailing Address - Street 1:2912 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1524
Mailing Address - Country:US
Mailing Address - Phone:410-921-3128
Mailing Address - Fax:
Practice Address - Street 1:2912 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1524
Practice Address - Country:US
Practice Address - Phone:410-804-5552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)