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General NPI Number Information
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NPI Number | 1518866284
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Entity Type | Organization
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Legal Business Name | GOLERKANSKY MIND AND WELLNESS, INC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1606 S ORANGE GROVE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90019-4933
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Country | US
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Telephone | 714-697-2684
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 SANTA MONICA BLVD STE 8
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City | LOS ANGELES
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State | CA
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Zip | 90029-2480
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Country | US
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Telephone | 714-697-2684
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | KAYLIN GOLERKANSKY
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Credential | PSY34572
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Telephone | 714-697-2684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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