Individual
DR. CHONTAY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, PMHNP-BC
Contact information
Practice address
2089 ANITA AVE, GROSSE POINTE WOODS, MI 48236-1427
(313) 459-6707
(313) 731-0360
Mailing address
2089 ANITA AVE, GROSSE POINTE WOODS, MI 48236-1427
(313) 459-6707
(313) 731-0360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WC1500X
Community Health Registered Nurse
4704208682
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704208682
MI
Other
Enumeration date
05/21/2007
Last updated
09/03/2025
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