Provider Demographics
NPI:1720777543
Name:REBECCA SHELLEY GOLDEN-TRIST
Entity Type:Organization
Organization Name:REBECCA SHELLEY GOLDEN-TRIST
Other - Org Name:REBECCA SHELLEY GOLDEN-TRIST LMFT, LPC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SHELLEY
Authorized Official - Last Name:GOLDEN-TRIST
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:412-475-9610
Mailing Address - Street 1:4075 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1867
Mailing Address - Country:US
Mailing Address - Phone:412-475-9610
Mailing Address - Fax:
Practice Address - Street 1:4075 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1867
Practice Address - Country:US
Practice Address - Phone:412-475-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty