Glenwood Life Counseling Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

905542 Issued in MD

Legal business name

GLENWOOD LIFE COUNSELING CENTER, INC.

Practice address

516 Glenwood Ave
Baltimore, MD 21212-4230

Phone

(410) 323-9811

Fax

(410) 323-3862

NPI assigned

Dec 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aredenia Langley

Title

Administrator

Phone

(410) 323-9811

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Glenwood Life Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glenwood Life Counseling Center

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1427345511
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1083089536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GLENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124230",
            "telephone_number": "410-323-9811",
            "fax_number": "410-323-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GLENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124230",
            "telephone_number": "410-323-9811",
            "fax_number": "410-323-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD LIFE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "AREDENIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-323-9811"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "905542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYYLAND DEPARTMENT OF HEALTH & MENTAL HYGIENE",
            "identifier": "905542",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7502516-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve R Glenn
• Keischa L Glenn, DO
• Stefanie Marie Glenn, C.R.N.P.
• Sydney Glenn, LGPC
• Glenwood Life Counseling Center
• Glenwood Life-Counseling Center Inc
• Glenwood Life-Counseling Center Inc.
• Emily Glessner, RDH
• Danielle Renee Glick, MD
• Jill Glick, PA

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.