GLENWOOD LIFE COUNSELING CENTER, INC. - NPI 1083089536 - Community/Behavioral Health in Baltimore, MD

Q: What is Glenwood Life Counseling Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Glenwood Life Counseling Center, Inc. NPPES

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

GLENWOOD LIFE COUNSELING CENTER, INC. (NPI 1083089536) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since December 2015. The organization lists Aredenia Langley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083089536

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGLENWOOD LIFE COUNSELING CENTER, INC.

Location Address516 GLENWOOD AVEBaltimore, MD 21212-4230

Mailing Address516 Glenwood AveBaltimore, MD 21212-4230 · (410) 323-9811 · Fax (410) 323-3862

Phone(410) 323-9811

Fax(410) 323-3862

Organization SubpartNo

Authorized OfficialAredenia LangleyAdministrator · (410) 323-9811

Enumeration DateDecember 9, 2015

✔ NPI 1083089536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MD · 905542

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

516 GLENWOOD AVE, Baltimore, MD 21212

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Other Identifiers 2

Medicaid7502516-00MD

Other905542MD · Mayyland Department Of Health & Mental Hygiene

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1087276

Glenwood Life Counseling Center · Baltimore, MD

Expired · Jul 30, 2026

CLIA Number21D1087276

Laboratory TypeOther

Certificate Effective DateJuly 31, 2024

Certificate Expiration DateJuly 30, 2026

Laboratory DirectorTerrence T. Fitzgerald

Laboratory Phone(410) 323-9811

Laboratory LocationGlenwood Life Counseling Center516 Glenwood Avenue, Baltimore, MD 21212

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

JACKSON NGANGA

Licensed Practical Nurse