Provider Demographics
NPI:1639397003
Name:GLADDEN, JOE WILLIAM II (MS, LPCC, LMHC)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:WILLIAM
Last Name:GLADDEN
Suffix:II
Gender:M
Credentials:MS, LPCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41748 N IRON HORSE DR
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-4923
Mailing Address - Country:US
Mailing Address - Phone:480-765-4825
Mailing Address - Fax:
Practice Address - Street 1:41748 N IRON HORSE DR
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-4923
Practice Address - Country:US
Practice Address - Phone:480-800-8664
Practice Address - Fax:480-716-9161
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9067101YM0800X
CA00133101YP2500X
AZ19625101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00133OtherBOARD OF BEHAVIORAL SCIENCES
FLMH 9067OtherLMHC
AZLPC-19625OtherAZ STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS