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A GLORIOUS PLACE LLC
NPI 1043952880
Nurse Practitioner - Psychiatric/Mental Health in Ellicott City, MD

Active since April 12, 2022
3203A CORPORATE CT, ELLICOTT CITY, MD 21042(410) 205-2458 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 21, 2025, Sep 16, 2022, Aug 15, 2022 and 1 more (4 updates tracked since 2022).

About A Glorious Place Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A GLORIOUS PLACE LLC (NPI 1043952880) is a healthcare organization registered as a psychiatric/mental health in Ellicott City, Maryland and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Washington and lists Glory Tataw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043952880
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameA GLORIOUS PLACE LLC
Location Address3203A CORPORATE CTEllicott City, MD 21042-2247
Mailing Address3203a Corporate CtEllicott City, MD 21042-2247 · (410) 696-2645
Phone(410) 205-2458
Organization SubpartNo
Authorized OfficialGlory TatawCeo · (410) 696-2645
Enumeration DateApril 12, 2022
Last NPPES UpdateFebruary 21, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1043952880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
3203A CORPORATE CT, Ellicott City, MD 21042
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Secondary Practice Location 1

Location 11629 K St NW Ste 300Washington, DC 20006-1631 · Phone (410) 696-2645 · Fax (667) 354-5522

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLORY TATAW
Nurse Practitioner (Psychiatric/Mental Health)
3203A CORPORATE CT
ELLICOTT CITY, MD 21042
Howard County (410) 205-2458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Glorious Place LLC's NPI number?

The NPI number for A Glorious Place LLC is 1043952880. It was assigned to this organization in the NPPES registry on April 12, 2022.

Where is A Glorious Place LLC located?

A Glorious Place LLC is located at 3203A Corporate Ct, Ellicott City, MD 21042. The listed phone number is (410) 205-2458.

What is A Glorious Place LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for A Glorious Place LLC was last updated on February 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.