Healthcare Provider Details

I. General information

NPI: 1801708367
Provider Name (Legal Business Name): GOLD TIER COLLECTIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 W 23RD ST
ERIE PA
16502-2421
US

IV. Provider business mailing address

924 W 23RD ST
ERIE PA
16502-2421
US

V. Phone/Fax

Practice location:
  • Phone: 724-422-3928
  • Fax:
Mailing address:
  • Phone: 724-422-3928
  • 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: MICHAEL RICHARD PHILHOWER
Title or Position: CO-OWNER/LCSW
Credential: LCSW
Phone: 724-422-3928