Provider Demographics
NPI:1144821356
Name:GOLDEN OAK FAMILY COUNSELING
Entity type:Organization
Organization Name:GOLDEN OAK FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LAADC
Authorized Official - Phone:951-514-1659
Mailing Address - Street 1:42445 GOLDEN OAK LN
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-3155
Mailing Address - Country:US
Mailing Address - Phone:951-514-1659
Mailing Address - Fax:951-344-8354
Practice Address - Street 1:28481 RANCHO CALIFORNIA RD STE 210
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3619
Practice Address - Country:US
Practice Address - Phone:951-768-1580
Practice Address - Fax:951-344-8354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty