Provider Demographics
NPI:1811619463
Name:GOLDEN HOUR THERAPY
Entity type:Organization
Organization Name:GOLDEN HOUR THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SALISBURY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-242-1119
Mailing Address - Street 1:2619 W HEADING AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:WEST PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61604-4971
Mailing Address - Country:US
Mailing Address - Phone:815-242-1119
Mailing Address - Fax:
Practice Address - Street 1:2619 W HEADING AVE STE 221
Practice Address - Street 2:
Practice Address - City:WEST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61604-4971
Practice Address - Country:US
Practice Address - Phone:815-242-1119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty