Provider Demographics
NPI:1750546248
Name:GOLDEN-TRIST, REBECCA SHELLEY (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SHELLEY
Last Name:GOLDEN-TRIST
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:412-246-5210
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:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health