LAUREN MARIE GOLLA


Address: 111 E Court St Ste 1b, Flint, MI 48502-1649
Phone: 8102622320

LAUREN MARIE GOLLA (NPI# 1992237176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992237176
Entity Type Individual
Full Name LAUREN MARIE GOLLA
Credential PSYD
Practice Address 111 E Court St Ste 1b
Flint
MI 48502-1649
Practice Telephone 8102622320
Practice Fax Number 8102391281
Mailing Telephone 8102622320
Mailing Fax Number 8102391281
Enumeration Date 2017-03-28
Last Update Date 2019-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 6301017819 MI Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 6301017819 MI Behavioral Health & Social Service Providers
N 103TR0400X Psychologist
Specialization: Rehabilitation
6301017819 MI Behavioral Health & Social Service Providers

Office Location

Street Address 111 E COURT ST STE 1B
City FLINT
State MI
Zip Code 48502-1649

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003453267 Patricia Ann Love Peer Specialist Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 2019-12-06
1104474329 First Trinity Missionary Baptist Church Public Health or Welfare 1226 Beach St, Flint, MI 48502 2019-08-30
1851861447 Mia Riggs Peer Specialist 932 Beach St., Flint, MI 48502 2018-11-27
1366948937 Stephanie Laverne Mcgowan Counselor 129 E. Third Street, Flint, MI 48502 2018-04-03
1801304498 Faith Ellen Gardner Student in an Organized Health Care Education/Training Program 529 Mlk, Flint, MI 48502 2018-01-17
1154857423 Carolyn Denise Scott Counselor 529 M.l. King, Jr. Ave., Flint, MI 48502 2017-05-05
1922556406 Kenya Hameed Clinical Neuropsychologist 111 East Court St, Suite 1b-1, Flint, MI 48502 2016-09-14
1518319367 Leann Littlejohn Counselor 529 Ml King Ave., Flint, MI 48502 2016-07-05
1093185712 Jayme Gene Wagner Counselor 529 M. L. King, Jr. Ave, Flint, MI 48502 2015-10-07
1508260753 Brittany Hopkins Counselor 529 Marting Luther King Jr Ave, Flint, MI 48502 2014-10-17
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760984348 Melissa Dawn Hoffman Psychologist 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 2018-02-28
1114358900 Katie Lynn Bowers Psychologist 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 2013-12-05
1851730329 Teresa Marie Lukasavitz Psychologist 1063 Professional Dr # D4, Flint, MI 48532-3636 2013-06-18
1821115049 Jodi Cavanaugh Psychologist 420 W. 5th Avenue, Flint, MI 48503 2007-03-23
1902981699 William Dawson Daniels Psychologist G-4511 Miller Rd, Flint, MI 48507 2006-10-25
1043245533 Jamail Psychological Clinic PC Psychologist 1114 Beach St, Flint, MI 48502-1407 2006-07-12
1700868288 Christopher John Danko Psychologist 5710 Clio Rd, Flint, MI 48504-1524 2005-11-18
1124634639 June Nguyen Westdal Psychologist 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 2020-09-20
1932714615 Jason Mark Scimemi Psychologist 1309 S Linden Rd Ste C, Flint, MI 48532-3443 2020-09-10
1306490370 Premier Thinking Mental Health Services, LLC Psychologist 4058 N Linden Rd Ste H, Flint, MI 48504-1381 2019-07-29
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Competitor

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City FLINT
Zip Code 48502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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