Healthcare Provider Details

I. General information

NPI: 1689504151
Provider Name (Legal Business Name): GOLDEN THREAD THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 CLARK SMITH RD
MITCHELL IN
47446-5514
US

IV. Provider business mailing address

1111 CLARK SMITH RD
MITCHELL IN
47446-5514
US

V. Phone/Fax

Practice location:
  • Phone: 812-508-0847
  • Fax: 812-791-4020
Mailing address:
  • Phone: 812-508-0847
  • Fax: 812-791-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DALLAS ENGLAND
Title or Position: OWNER
Credential: LCSW
Phone: 812-508-0847