Glenn Haven, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GLENN HAVEN, LLC

Practice address

6417 Spanish Moss LN
Charlotte, NC 28262-2259

Phone

(803) 412-9514

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 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

Dana Keitt

Title

Executive Director

Phone

(803) 412-9514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1972407229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 SPANISH MOSS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622259",
            "telephone_number": "803-412-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 SPANISH MOSS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622259",
            "telephone_number": "803-412-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "KEITT",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-412-9514"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Neal Gleckler, CRNA
• Katrina Marie Gleditsch, DO
• Glee Club Counseling and Consulting PLLC
• Randolph Glee
• Elizabeth Gleitsman, LCMHC
• Wynter Glenn-Williams, M.A., CCC-SLP
• Amelia Diane Glenn, LCMHCA
• Brittany Glenn, PSS
• Catherine Glenn, CSAC-I
• Gabrielle Shawnta' Glenn, MSED, LPC, LCMHCHA

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.