GLENN WILBUR SCANES NPI 1720646094

NPI Information

NPI: 1720646094
Provider Name: GLENN WILBUR SCANES
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 255-5818
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Glenn Wilbur Scanes is an addiction (substance use disorder) counselor in Daytona Beach, FL. Glenn Wilbur Scanes NPI is 1720646094. 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:

1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL
ZIP 32114-230
Phone: (386) 255-5818
Fax: (386) 255-5818

The enumeration date for this NPI number is 6/3/2019 and was last updated on 6/3/2019.

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)			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	SOJXQXJM6	MEDICAID	FLORIDA

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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