Healthcare Provider Details

I. General information

NPI: 1760308019
Provider Name (Legal Business Name): EMILY ANNA GOLDEN MA, LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 W HIGHWAY 80 STE 1
SOMERSET KY
42503-2897
US

IV. Provider business mailing address

647 W HIGHWAY 80 STE 1
SOMERSET KY
42503-2897
US

V. Phone/Fax

Practice location:
  • Phone: 606-802-2880
  • Fax: 606-802-2888
Mailing address:
  • Phone: 606-802-2880
  • Fax: 606-802-2888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number309340
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: