My Golden Age MGT Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY GOLDEN AGE MGT SERVICES LLC

Practice address

6825 Jimmy Carter Blvd Ste 1700
Norcross, GA 30071-1269

Phone

(786) 608-2876

NPI assigned

Jan 4, 2022

Last updated

Jan 4, 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

Mayerlin Angulo, CBHTNPI 1568123396

Title

President

Phone

(786) 608-2876

Specialties & licenses 2

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.

• Mayerlin Angulo, CBHT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norcross, GA
  • NPI 1568123396

  Case Management

  NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1790446524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 JIMMY CARTER BLVD STE 1700",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711269",
            "telephone_number": "786-608-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 JIMMY CARTER BLVD STE 1700",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711269",
            "telephone_number": "786-608-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GOLDEN AGE MGT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "ANGULO",
        "authorized_official_first_name": "MAYERLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-608-2876",
        "authorized_official_credential": "CBHT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munoz Dental Resources LLC (Dental Now 14)
• Jasmine Nicole Munroe, PHMNP
• Asia Murillo
• Maura A Murphy, PT
• Richard W Musicer, DDS
• Anne Youngsue NA, DMD
• Beenal Jayantilal Naik, M.D.
• Betty Richards Nally, NP
• Nann Health Services
• Ajahnay Narcisse

• Community/Behavioral Health Agency in Norcross, GA
• Providers in Norcross, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.