Organization
GLIMMER OF HOPE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TARPLEY (BILLING ADMIN)
(270) 986-7044
Entity
Organization
Contact information
Practice address
700 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2604
(270) 351-3192
(270) 351-5499
Mailing address
700 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2604
(270) 351-3192
(270) 351-5499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100804870
—
KY
01
—
811037
LICENSE NUMBER
KY
Enumeration date
05/19/2022
Last updated
06/17/2022
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