Denise Glanville, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003074 Issued in GA

Legal business name

DENISE GLANVILLE, LLC

Doing business as

Wellspring Point

Practice address

315 W Ponce de Leon Ave
Suite 1051
Decatur, GA 30030-2400

Phone

(404) 378-0441

NPI assigned

Oct 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Denise Glanville, PH.D.

Title

Psychologist/Owner

Phone

(404) 966-7505

Specialties & licenses 1

Addresses

Other names 1

• Wellspring Point Doing business as

Locations

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

{
    "created_epoch": "1287187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287187200000",
    "number": "1912217530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 S COBB DR SE STE A",
            "address_2": "SUITE 324",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804107",
            "telephone_number": "404-966-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE",
            "address_2": "SUITE 1051",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302400",
            "telephone_number": "404-378-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE GLANVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-16",
        "last_updated": "2010-10-16",
        "status": "A",
        "authorized_official_last_name": "GLANVILLE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "404-966-7505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulina Niki Demetriou, MSW
• Charles S Demosthenes, M.D.
• Amanda Lauren Dempsey, MD
• Samantha Dempsey, PHARMD
• Stacey Zheng Deng, RD, LD
• Jeffrey David Denner, PHARM.D.
• Courtney Denney, LMSW
• Christa V Dennis
• Lauren Dennis
• Sara J Dennis, LCSW

• Clinical Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2010; 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.