Organization
GLC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GRIFFIN (ADMINISTRATOR)
(312) 730-4355
Entity
Organization
Contact information
Practice address
400 S 4TH ST STE 300, LAS VEGAS, NV 89101-6206
(877) 767-1692
Mailing address
PO BOX 3543, OAK BROOK, IL 60522-3543
(877) 767-1692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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