# GLC WELLNESS CENTER HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083424477
- **Authorized official:** NANCY GRIFFIN (ADMINISTRATOR)
- **Authorized official phone:** (312) 730-4355

## Contact information

- **Practice address:** 400 S 4TH ST STE 300, LAS VEGAS, NV 89101-6206
- **Practice address phone:** (877) 767-1692
- **Mailing address:** PO BOX 3543, OAK BROOK, IL 60522-3543
- **Mailing address phone:** (877) 767-1692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/08/2025