Healthcare Provider Details

I. General information

NPI: 1588587307
Provider Name (Legal Business Name): THE GOLDEN COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 JAMES DOAK PKWY
GREENSBORO NC
27455-8301
US

IV. Provider business mailing address

1000 NOVUS LN APT 101
CHAPEL HILL NC
27514-6020
US

V. Phone/Fax

Practice location:
  • Phone: 336-520-0532
  • Fax:
Mailing address:
  • Phone: 336-520-0532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXA DESLAURIERS
Title or Position: THERAPIST/OWNER
Credential: MS, LCMHCA, CRC
Phone: 336-520-0532