Provider Demographics
NPI:1700434461
Name:GOLDENBERG, RIKKI (LMHC)
Entity type:Individual
Prefix:
First Name:RIKKI
Middle Name:
Last Name:GOLDENBERG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11419 WEST PALMETTO PARK ROAD SUITE A
Mailing Address - Street 2:UNIT 970701
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33497
Mailing Address - Country:US
Mailing Address - Phone:561-223-9358
Mailing Address - Fax:
Practice Address - Street 1:7777 GLADES RD STE 321
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4150
Practice Address - Country:US
Practice Address - Phone:561-223-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health