Provider Demographics
NPI:1801381942
Name:GOLDEN DAYS COUNSELING LLC
Entity Type:Organization
Organization Name:GOLDEN DAYS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:FULD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-870-5360
Mailing Address - Street 1:2600 TANEY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3916
Mailing Address - Country:US
Mailing Address - Phone:410-870-5360
Mailing Address - Fax:443-687-8714
Practice Address - Street 1:1009 FREDERICK RD STE 1
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5055
Practice Address - Country:US
Practice Address - Phone:410-870-5360
Practice Address - Fax:443-687-8714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD202691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty