MEDICARE: LAURA GOLDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	18541	FL

General Provider Information

NPI Number	:	1053912410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA GOLDEN

Provider Business Mailing Address
First Line	:	7770 NW 4TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1902
Country	:	US
Telephone Number	:	754-202-2565
Fax Number	:	754-209-2738

Provider Business Practice Location Address
First Line	:	1200 S FEDERAL HWY STE 301
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6059
Country	:	US
Telephone Number	:	754-202-2565
Fax Number	:	754-209-2738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	03/31/2026

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Directions to “ LAURA GOLDEN ” Practice Location

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