Healthcare Provider Details

I. General information

NPI: 1629898549
Provider Name (Legal Business Name): GOLD STAR COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 OAKLAND ST
HOLLY MI
48442-1224
US

IV. Provider business mailing address

414 OAKLAND ST
HOLLY MI
48442-1224
US

V. Phone/Fax

Practice location:
  • Phone: 248-533-3775
  • Fax:
Mailing address:
  • Phone: 248-533-3775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: APRIL G BRANDON
Title or Position: LPC
Credential: LPC
Phone: 248-533-3775