Glimmer of Hope, PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GLIMMER OF HOPE, PLLC

Practice address

700 W Lincoln Trail Blvd
Radcliff, KY 40160-2604

Phone

(270) 351-3192

Fax

(270) 351-5499

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Michelle Tarpley

Title

Billing Admin

Phone

(270) 986-7044

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1306583497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602604",
            "telephone_number": "270-351-3192",
            "fax_number": "270-351-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602604",
            "telephone_number": "270-351-3192",
            "fax_number": "270-351-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLIMMER OF HOPE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "TARPLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "270-986-7044"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100804870",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "811037",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatyana Furman, DMD
• Galena LLC
• Carrie Garnett
• Laquita Gaskins
• Brandy Dawn Givan, M.A., CCC-SLP
• Mikayla Nicole Goff, MSW CSW
• Orlando Gonzalez, D.M.D.
• Sara M Goodin, M.A., L.P.A.
• Anneliese Mariah Goodman
• Graham Behavioral Health, LLC

• All providers in Radcliff, KY
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.