A GLORIOUS PLACE LLC NPI 1043952880

NPI Information

  • NPI: 1043952880
  • Provider Name: A GLORIOUS PLACE LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 3203A CORPORATE CT
    ELLICOTT CITY, MD
    ZIP 21042
  • Phone: (410) 205-2458

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NPI Details

A GLORIOUS PLACE LLC is a psychiatric/mental health nurse practitioner in Ellicott City, MD. A GLORIOUS PLACE LLC NPI is 1043952880. The provider is registered as an organization entity type.

The provider's business location address is:

3203A CORPORATE CT
ELLICOTT CITY, MD
ZIP 21042-247
Phone: (410) 205-2458

The provider's authorized official is Glory Tataw .
The authorized official title is Ceo and has the following contact phone number (410) 696-2645.

The enumeration date for this NPI number is 4/12/2022 and was last updated on 2/21/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3323P00000XPsychiatric Residential Treatment FacilityNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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