Glenwood Life-Counseling Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

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

Aug 22, 2019

Last updated

Aug 22, 2019By 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

Ashanda D Powell, MD

Title

Medical Director

Phone

(410) 323-9811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1588211619",
    "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": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ASHANDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-323-9811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Nicole P Glick, PSYD
• Rachael Glick, LCSW-C

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.