Healthcare Provider Details

I. General information

NPI: 1780596007
Provider Name (Legal Business Name): GOLDEN ROAD COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 YOUNGFIELD ST
GOLDEN CO
80401-4261
US

IV. Provider business mailing address

PO BOX 25
GOLDEN CO
80402-0025
US

V. Phone/Fax

Practice location:
  • Phone: 303-246-6239
  • Fax:
Mailing address:
  • Phone: 303-351-7595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEA MAKLEY
Title or Position: LPC
Credential: MA, MFT, LPC
Phone: 303-246-6239