Golden Girl, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

GOLDEN GIRL, INC.

Practice address

999 B Street
Ceredo, WV 25507-0876

Phone

(304) 453-1401

Fax

(304) 453-6273

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Leah Renee Harrison, MA, LPC, ALPS, LSW

Title

Executive Director

Phone

(304) 453-1401

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Golden Girl Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Golden Girl, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ceredo, WV
  • NPI 1073755104
  NPD tax ID
• Golden Girl, Inc.

  • Mental Health Counselor
  • Ceredo, WV
  • NPI 1760248058
  NPD tax ID

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1730320060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "255070876",
            "telephone_number": "304-453-1401",
            "fax_number": "304-453-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 B STREET",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "255070876",
            "telephone_number": "304-453-1401",
            "fax_number": "304-453-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GIRL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-453-1401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, ALPS, LSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023496002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Ewing, RN,BSN
• Emily Farris
• Michael James Fredrick, DC
• John Samuel Fry, D.C.
• Golden Girl, Inc.
• Golden Girl, Inc.
• Gregmar Inc
• Rachel Hefner, MOT
• Brandy Hovanec
• Integrated Psychiatric Care LLC

• All providers in Ceredo, WV
• Emotionally Disturbed Childrens' Residential Treatment Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.