Provider Demographics
NPI:1487423273
Name:GOLDEN INTEGRATED FAMILY THERAPY
Entity type:Organization
Organization Name:GOLDEN INTEGRATED FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-799-6111
Mailing Address - Street 1:1150 GOLDEN CIR APT 311
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3640
Mailing Address - Country:US
Mailing Address - Phone:720-799-6111
Mailing Address - Fax:303-771-0117
Practice Address - Street 1:1150 GOLDEN CIR APT 311
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3640
Practice Address - Country:US
Practice Address - Phone:720-799-6111
Practice Address - Fax:303-771-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty