Glow Within Wellness Collective LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GLOW WITHIN WELLNESS COLLECTIVE LLC

Practice address

3825 Grayburn Ave
Los Angeles, CA 90008-1940

Phone

(310) 407-9283

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antacasia Thomas

Title

Owner / Managing Member

Phone

(310) 407-9283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1417861923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 GRAYBURN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 GRAYBURN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081940",
            "telephone_number": "310-407-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW WITHIN WELLNESS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANTACASIA",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "310-407-9283"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianni Glover, OTR/L
• Janelle Glover, PA-C
• John Tirado Glover
• Rasheedah Glover, RRT
• Raymond Glover
• Michael B. Glowalla, MD
• Robyn Gloyd, MA, BCBA
• Leslie Gluck, MA, AMFT
• Lynda D Gluck, M.A.
• Miriam Madeline Gluck

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.