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NPI 1801708367

NPI 1801708367 : GOLD TIER COLLECTIVE, LLC : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1801708367
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLD TIER COLLECTIVE, LLC 
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Dates
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    Enumeration Date     |    09/21/2026
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    Last Update Date     |    09/21/2026
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Provider Practice Location Address
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    Address Line         |    924 W 23RD ST 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-2421
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    Country              |    US
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    Telephone            |    724-422-3928
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    924 W 23RD ST 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16502-2421
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    Country              |    US
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    Telephone            |    724-422-3928
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-OWNER/LCSW
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    Name                 |     MICHAEL RICHARD PHILHOWER 
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    Credential           |    LCSW
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    Telephone            |    724-422-3928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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