| Golden Girl, Inc. | |
| 709 Main Street Ceredo WV 25507-2550 | |
| (304) 453-1401 | |
| (304) 453-6273 | 
| Full Name | Golden Girl, Inc. | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 709 Main Street, Ceredo, West Virginia | 
| Authorized Official Name and Position | Renee Harrison (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 3044531401 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Golden Girl, Inc. Po Box 876 Ceredo WV 25507-0876 Ph: (304) 453-1401 | Golden Girl, Inc. 709 Main Street Ceredo WV 25507-2550 Ph: (304) 453-1401 | 
| NPI Number | 1760248058 | 
|---|---|
| Provider Enumeration Date | 02/23/2024 | 
| Last Update Date | 02/23/2024 | 
| Certification Date | 02/12/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760248058 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |