GLENN NEWBERRY LPC-S
NPI 1457018194
Counselor - Professional in Tolar, TX
- Individual
- Male
- Counselor
- Professional
About GLENN NEWBERRY
This page provides the complete NPI Profile along with additional information for Glenn Newberry, a provider established in Tolar, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1457018194 assigned on November 2021. The practitioner's primary taxonomy code is 101YP2500X with license number 15063 (TX). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1457018194 Verify this NPI
- Provider Name
- GLENN NEWBERRY LPC-S
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10306 RICHTER CT TOLAR, TX 76476
- Location Phone
- (214) 536-6172
- Mailing Address
- 10306 RICHTER CT TOLAR, TX 76476
- Mailing Phone
- (214) 536-6172
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-17-2021
- Last Update Date
- 11-17-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 15063
- License State
- TX
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457018194, enumerated as an "individual" on November 17, 2021.
The provider is located at 10306 RICHTER CT TOLAR, TX 76476 and the phone number is (214) 536-6172.
Counselor with taxonomy code 101YP2500X and a focus in Professional.