Healthcare Provider Details
I. General information
NPI: 1457149809
Provider Name (Legal Business Name): GOLDEN HEART COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1440 MARIA LN STE 150
WALNUT CREEK CA
94596
US
IV. Provider business mailing address
1440 MARIA LN STE 150
WALNUT CREEK CA
94596-5338
US
V. Phone/Fax
- Phone: 925-891-3327
- Fax: 925-891-3337
- Phone: 925-891-3327
- Fax: 925-891-3337
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
CARMEN
LUK
Title or Position: CEO
Credential: LCSW
Phone: 925-891-3327