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).
| 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 |
| 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 |
| Street Address |
111 E COURT ST STE 1B |
| City | FLINT |
| State | MI |
| Zip Code | 48502-1649 |
| 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 |
| Find all providers in zip 48502 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| 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 |
| Find all providers in FLINT | ||||
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| 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.