Provider Demographics
NPI:1538737648
Name:GOLDEN GATE COUNSELING, PLLC
Entity type:Organization
Organization Name:GOLDEN GATE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENLOW
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:312-884-9597
Mailing Address - Street 1:140 S GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3918
Mailing Address - Country:US
Mailing Address - Phone:415-410-7587
Mailing Address - Fax:
Practice Address - Street 1:140 S GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-3918
Practice Address - Country:US
Practice Address - Phone:415-410-7587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)