Active NPI
Golden Therapy LLC
- Community/Behavioral Health Agency
- Fleming Island, FL
National Provider Identifier
1245065473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOLDEN THERAPY LLC
- Practice address
- 4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832 - Phone
- (904) 269-0886
- NPI assigned
- Sep 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather M. McDonald, LCSW
- Title
- Therapist
- Phone
- (904) 714-8477
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832
Mailing address
1770 Long Slough Walk
Fleming Island, FL 32003-7033
Phone (904) 714-8477
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fleming Island, FL
- NPI 1437511854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1245065473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 LONG SLOUGH WALK",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320037033",
"telephone_number": "904-714-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4375 US HIGHWAY 17 STE 103",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034832",
"telephone_number": "904-269-0886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "904-714-8477",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.