Provider Demographics
NPI:1902551492
Name:STAY GOLD COUNSELING, LLC
Entity type:Organization
Organization Name:STAY GOLD COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, ATR
Authorized Official - Phone:505-750-7063
Mailing Address - Street 1:7 CAVE RD
Mailing Address - Street 2:
Mailing Address - City:CERRILLOS
Mailing Address - State:NM
Mailing Address - Zip Code:87010-9729
Mailing Address - Country:US
Mailing Address - Phone:505-750-7063
Mailing Address - Fax:
Practice Address - Street 1:7 CAVE RD
Practice Address - Street 2:
Practice Address - City:CERRILLOS
Practice Address - State:NM
Practice Address - Zip Code:87010-9729
Practice Address - Country:US
Practice Address - Phone:505-750-7063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty