Organization
GOLDEN LIFE COUNSELING AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENIKKA MOORE LICSW (OWNER)
(860) 916-7400
Entity
Organization
Contact information
Practice address
1638 R ST NW STE 300, WASHINGTON, DC 20009-6451
(202) 779-1828
Mailing address
47 54TH ST SE, WASHINGTON, DC 20019-6560
(860) 916-7400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902055775
—
DC
Enumeration date
10/18/2018
Last updated
10/18/2018
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