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Organization

GLOW FORWARD THERAPY, LLC

Active
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Organization

GLOW FORWARD THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACI REID LEAK (MS, CCC-SLP)
(252) 258-6200
Entity
Organization

Contact information

Practice address
1994 TOWNSHIP DR, WINDER, GA 30680-5633
(252) 258-6200
Mailing address
1994 TOWNSHIP DR, WINDER, GA 30680-5633
(252) 258-6200

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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