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NPI Code Detail

MEDICARE: GOLDEN HEALTH AND WELLNESS, LLC

MEDICARE: GOLDEN HEALTH AND WELLNESS, LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548125669
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN HEALTH AND WELLNESS, LLC
Provider Business Mailing Address
First Line : 555 N MAIN ST # 1361
Second Line :
City : PROVIDENCE
State : RI
Zip : 02904-5722
Country : US
Telephone Number : 401-996-1926
Fax Number :
Provider Business Practice Location Address
First Line : 118 PEERLESS ST
Second Line :
City : CRANSTON
State : RI
Zip : 02910-2561
Country : US
Telephone Number : 401-996-1926
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : MADIBET DEL CARMEN GOMEZ
Credential : LMHC
Telephone Number : 401-996-1926
Provider Enumeration Date : 12/20/2025
Last Update Date : 03/10/2026

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Directions to “GOLDEN HEALTH AND WELLNESS, LLC ” Practice Location

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