THOMAS GEORGE GLAZA M.A. M. ED NPI 1548247968

NPI Information

NPI: 1548247968
Provider Name: THOMAS GEORGE GLAZA, M.A., M. ED
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12497 TAMIAMI TRL S
SUITE #9
NORTH PORT, FL
ZIP 34287
Phone: (941) 429-0804
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Thomas George Glaza, M.A., M. ED is a professional counselor in North Port, FL. Thomas George Glaza, M.A., M. ED NPI is 1548247968. 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:

12497 TAMIAMI TRL S
SUITE #9
NORTH PORT, FL
ZIP 34287-447
Phone: (941) 429-0804
Fax: (941) 429-0814

The enumeration date for this NPI number is 12/28/2005 and was last updated on 7/2/2015.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2188	FLORIDA	No
2	101YP2500X	Counselor	Professional	MH5146	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2188	OTHER	FLORIDA	CAP CERTIFICATE
2	MH5146	OTHER	FLORIDA	STATE LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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