National Provider Identifier
Samantha Elaine Golden, LMHC, NCC, CCTP
Samantha Elaine Golden, LMHC, NCC, CCTP is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Brockport, NY and a listed phone number of (585) 590-4463.
Profile Overview
- NPI
- 1336703859
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 30, 2019
- Last Updated
- June 29, 2023
Practice Location
- 13 Water St Ste 3
- Brockport, NY 14420-1964
Phone: (585) 590-4463
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1336703859
- Entity Type
- Individual
- Last Name
- Golden
- First Name
- Samantha
- Middle Name
- Elaine
- Name Prefix
- Mrs.
- Credential
- LMHC, NCC, CCTP
- Mailing Street Address
- 13 Water St Ste 3
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1964
- Mailing Country
- US
- Mailing Phone
- (585) 590-4463
- Practice Street Address
- 13 Water St Ste 3
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1964
- Practice Country
- US
- Practice Phone
- (585) 590-4463
- Enumeration Date
- April 30, 2019
- Last Updated
- June 29, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 1346634151 (NY)