Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GLINDA MARIE CANNON LPC
NPI 1073437877
Counselor - Professional in Moultrie, GA

Active since August 05, 2026
617 1ST ST SE, MOULTRIE, GA 31768(229) 456-2864 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glinda Marie Cannon Lpc NPPES

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

GLINDA MARIE CANNON LPC (NPI 1073437877) is an individual professional provider in Moultrie, Georgia, licensed in Georgia (LPC017191) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1073437877
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGLINDA MARIE CANNONCredential: LPC
Location Address617 1ST ST SEMoultrie, GA 31768-5507
Mailing Address2993 Old Albany RdDoerun, GA 31744-5313 · (229) 456-2864
Sole ProprietorNo
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
NPI 1073437877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC017191
617 1ST ST SE, Moultrie, GA 31768

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
617 1ST ST SE
MOULTRIE, GA 31768

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 Glinda Cannon's NPI number?

The NPI number for Glinda Cannon is 1073437877. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Where is Glinda Cannon located?

Glinda Cannon practices at 617 1st St SE, Moultrie, GA 31768. The listed phone number is (229) 456-2864.

What is Glinda Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Glinda Cannon was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.