Healthcare Provider Details

I. General information

NPI: 1588508014
Provider Name (Legal Business Name): GOLDEN GOOSE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 WILLOW ST
FARIBAULT MN
55021-6247
US

IV. Provider business mailing address

418 WILLOW ST
FARIBAULT MN
55021-6247
US

V. Phone/Fax

Practice location:
  • Phone: 651-358-4747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KARMY LUKER
Title or Position: FOUNDER/ THERAPIST
Credential: LICSW
Phone: 651-358-4747