Provider Demographics
NPI:1508559824
Name:HEALING GLO COUNSELING, LLC
Entity Type:Organization
Organization Name:HEALING GLO COUNSELING, LLC
Other - Org Name:HEALING GLO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOECKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-921-2960
Mailing Address - Street 1:18414 1ST AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-4903
Mailing Address - Country:US
Mailing Address - Phone:678-934-1745
Mailing Address - Fax:
Practice Address - Street 1:18414 1ST AVENUE CT E
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-4903
Practice Address - Country:US
Practice Address - Phone:678-934-1745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty