Golgotha Touch Behavioral Health Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15529 Issued in MD

Legal business name

GOLGOTHA TOUCH BEHAVIORAL HEALTH SERVICES LLC

Practice address

604 S Frederick Ave
211
Gaithersburg, MD 20877-1275

Phone

(240) 731-0457

NPI assigned

Jan 8, 2011

Last updated

Jan 8, 2011By 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

Lilian Bollers, LCSW-CNPI 1003133992

Title

Owner

Phone

(240) 731-0457

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.

• Lilian Inutu Bollers, LCSW-C, LICSW

  • Clinical Social Worker
  • Plano, TX
  • NPI 1003133992
  Authorized official Same address or phone

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1851695662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S FREDERICK AVE",
            "address_2": "211",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771275",
            "telephone_number": "240-731-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S FREDERICK AVE",
            "address_2": "211",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771275",
            "telephone_number": "240-731-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLGOTHA TOUCH BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "BOLLERS",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-731-0457",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ira Golden, MD
• Thomas R Golden, L.C.S.W.
• Diane Beck Goldsmith, LCSWC
• Sherlyn Barbara Goldstein-Askwith (Aka Askwith), LCSW-C
• Melissa Goldstein-Boswell
• Yuliana Gomez Paternina
• Irene Guadalupe Gomez, LGPC
• Marylynn Gonsalves, NP
• Kelvin Gonzalez
• Good People Wellness Center, Inc

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.