Golden Shields Therapeutic & Community Services LLC

Primary specialty

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

Legal business name

GOLDEN SHIELDS THERAPEUTIC & COMMUNITY SERVICES LLC

Practice address

2625 Rutledge St
Columbia, SC 29204-2520

Phone

(803) 834-5033

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Johnnie C Hardy

Title

Ceo

Phone

(803) 834-5033

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Golden Shields Therapeutic Community Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Golden Shields Therapeutics & Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
  • NPI 1366130692
  NPD tax ID

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1902525041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 RUTLEDGE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042520",
            "telephone_number": "803-834-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 RUTLEDGE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042520",
            "telephone_number": "803-834-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SHIELDS THERAPEUTIC & COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-834-5033"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.goldenshieldsofsc.org",
            "affiliation": "N",
            "endpointDescription": "web address",
            "address_1": "2625 Rutledge St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292042520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raven Nicole Goins
• Shelly K Goins, MSN, APRN FNP-C
• Janet Matenlan Golay
• Tyler James Goldbach, MD
• Golden Glow Skin and Body
• Golden Shields Therapeutics & Community Services
• Golden Times Home Away From Home
• Keelin Jamaal Golden-Maldonado, FNP
• Gregory Evan Golden, PSY.D.
• Melanie Golden, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; 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.