KEVIN LLOYD GLENN LAC NPI 1730539024

NPI Information

NPI: 1730539024
Provider Name: KEVIN LLOYD GLENN, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1424 S STAPLEY DR
MESA, AZ
ZIP 85204
Phone: (480) 892-7403
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Kevin Lloyd Glenn, LAC is a mental health counselor in Mesa, AZ. Kevin Lloyd Glenn, LAC NPI is 1730539024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1424 S STAPLEY DR
MESA, AZ
ZIP 85204-877
Phone: (480) 892-7403
Fax: (480) 892-6701

The enumeration date for this NPI number is 6/16/2016 and was last updated on 6/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LAC-15190	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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