Fly Like an Eagle Outreach, Inc.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

FLY LIKE AN EAGLE OUTREACH, INC.

Doing business as

Fly Like An Eagle Outreach, Inc.

Practice address

120 E 3Rd St # 208
Long Beach, CA 90802-3138

Phone

(310) 945-8305

NPI assigned

Jul 31, 2024

Last updated

Oct 19, 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

Jolly Glover

Title

Executive Director

Phone

(310) 945-8305

Specialties & licenses 7

Addresses

Other names 1

• Fly Like An Eagle Outreach, Inc. Doing business as

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1972332674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 3RD ST STE 208",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023138",
            "telephone_number": "310-945-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 3RD ST # 208",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023138",
            "telephone_number": "310-945-8305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3317 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908045008",
            "country_code": "US",
            "telephone_number": "310-945-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLY LIKE AN EAGLE OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-945-8305"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fly Like An Eagle Outreach, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fly Like An Eagle Outreach, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peer Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.