Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GLOW SERVICES, LLC
Active
Organization
GLOW SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKELL DANIELS (CEO/LEAD THERAPIST)
(414) 628-0112
Entity
Organization
Contact information
Practice address
2300 W HOPKINS ST, MILWAUKEE, WI 53206-1749
(414) 218-1001
Mailing address
PO BOX 91352, MILWAUKEE, WI 53209-8352
(414) 628-0112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up