Provider Demographics
NPI:1093173874
Name:GOLDEN CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:GOLDEN CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STACHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:843-303-7522
Mailing Address - Street 1:108 CENTRAL AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-3079
Mailing Address - Country:US
Mailing Address - Phone:843-789-4464
Mailing Address - Fax:843-970-2411
Practice Address - Street 1:108 CENTRAL AVE
Practice Address - Street 2:STE 3
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-3079
Practice Address - Country:US
Practice Address - Phone:843-789-4464
Practice Address - Fax:843-970-2411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6037101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty