Provider Demographics
NPI:1700027265
Name:GLENN, STEVE LANSING (MA/LPC)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:LANSING
Last Name:GLENN
Suffix:
Gender:M
Credentials:MA/LPC
Other - Prefix:MR
Other - First Name:STEVE
Other - Middle Name:LANSING
Other - Last Name:GLENN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:706 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1290
Mailing Address - Country:US
Mailing Address - Phone:864-582-2402
Mailing Address - Fax:864-948-0084
Practice Address - Street 1:706 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1290
Practice Address - Country:US
Practice Address - Phone:864-582-2402
Practice Address - Fax:864-948-0084
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC725101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional