Provider Demographics
NPI:1336914696
Name:GOLDEN COAST COUNSELING INC
Entity Type:Organization
Organization Name:GOLDEN COAST COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:GABRIELA
Authorized Official - Last Name:TERCERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-793-0087
Mailing Address - Street 1:970 S VILLAGE OAKS DR STE 103
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-0609
Mailing Address - Country:US
Mailing Address - Phone:323-793-0087
Mailing Address - Fax:
Practice Address - Street 1:970 S VILLAGE OAKS DR STE 103
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-0609
Practice Address - Country:US
Practice Address - Phone:323-793-0087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)