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General NPI Number Information
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NPI Number | 1588587307
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Entity Type | Organization
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Legal Business Name | THE GOLDEN COLLECTIVE, PLLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 406 JAMES DOAK PKWY
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City | GREENSBORO
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State | NC
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Zip | 27455-8301
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Country | US
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Telephone | 336-520-0532
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NOVUS LN APT 101
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City | CHAPEL HILL
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State | NC
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Zip | 27514-6020
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Country | US
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Telephone | 336-520-0532
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ALEXA DESLAURIERS
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Credential | MS, LCMHCA, CRC
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Telephone | 336-520-0532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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