Golden Life Therapy and Wellness Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GOLDEN LIFE THERAPY AND WELLNESS SERVICES LLC

Practice address

1706 W Gilligan Ave
Rogers, AR 72758-5500

Phone

(479) 323-1172

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tiara Chante Hudson, LCSW/LISWNPI 1801359310

Title

Owner/Therapist

Phone

(479) 323-1172

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiara Chante Hudson, MSW, LCSW, LISW

  • Clinical Social Worker
  • Rogers, AR
  • NPI 1801359310
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1447975610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N DIXIELAND RD STE D-2",
            "address_2": "BOX 326",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561123",
            "telephone_number": "479-323-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W GILLIGAN AVE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727585500",
            "telephone_number": "479-323-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE THERAPY AND WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TIARA",
        "authorized_official_middle_name": "CHANTE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "479-323-1172",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW/LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GN Hearing Care Corp (Beltone)
• Colette Renee Goble, PT
• Kaylee Jo Goff
• Taylor Goff, LAC
• Mallori Goines
• Robert C Goldtrap, DDS
• Citlalli Gomez
• Lauren Allison Gonzales
• Allison Gonzalez, MD
• Diana Gabriela Gonzalez, MSN, APRN, FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rogers, AR
• Providers in Rogers, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.