Provider Demographics
NPI:1548069578
Name:GOLD LINE COUNSELING, PLLC
Entity type:Organization
Organization Name:GOLD LINE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.S., LMHC/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-628-2797
Mailing Address - Street 1:126 LONDON LN
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-9357
Mailing Address - Country:US
Mailing Address - Phone:360-628-2797
Mailing Address - Fax:
Practice Address - Street 1:126 LONDON LN
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-9357
Practice Address - Country:US
Practice Address - Phone:360-628-2797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLD LINE COUNSELING, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)