Organization
FAMILY MENTAL HEALTH SERVICES, INC. OF RALEIGH. NC
Active
Other names
Dorothy A. Glasse, M. Ed
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY ANN GLASSE M.ED, MA, LPC, LCAS (DIRECTOR, OUT-PATIENT THERAPIST)
(919) 875-1374
Entity
Organization
Contact information
Practice address
6129 REMINGTON LAKE DR, RALEIGH, NC 27616-6233
(919) 875-1374
(919) 954-7051
Mailing address
6129 REMINGTON LAKE DR, RALEIGH, NC 27616-6233
(919) 875-1374
(919) 954-7051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141VT
INDEPENDENT MENTAL HEALTH
NC
05
—
6102252
—
NC
01
—
8268
PREFERRED PROVIDER
NC
Enumeration date
04/11/2007
Last updated
06/12/2008
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