NPIMap

Organization Active NPI

Golden Grove Behavioral Health LLC

  • Behavior Analyst
  • Mineral, VA
National Provider Identifier
1144112665
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOLDEN GROVE BEHAVIORAL HEALTH LLC
Practice address
2561 Pendleton Rd
Mineral, VA 23117-3914
Phone
(843) 607-8689
NPI assigned
Jul 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Britney Diane Clark, BCBA, LBANPI 1326634072
Title
Behavior Analyst/Owner
Phone
(843) 607-8689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2561 Pendleton Rd
Mineral, VA 23117-3914

Mailing address

2561 Pendleton Rd
Mineral, VA 23117-3914
Phone (843) 607-8689

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1144112665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 PENDLETON RD",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231173914",
            "telephone_number": "843-607-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 PENDLETON RD",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231173914",
            "telephone_number": "843-607-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GROVE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/OWNER",
        "authorized_official_telephone_number": "843-607-8689",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.