Provider Demographics
NPI:1851480677
Name:HOOD, GLORIA L (MS)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:L
Last Name:HOOD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8310 ALLISON POINTE BLVD STE 203C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1998
Mailing Address - Country:US
Mailing Address - Phone:317-294-7693
Mailing Address - Fax:463-271-7825
Practice Address - Street 1:8310 ALLISON POINTE BLVD STE 203C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1998
Practice Address - Country:US
Practice Address - Phone:317-294-7693
Practice Address - Fax:463-271-7825
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33002047A104100000X
IN35000914A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN263939000OtherMAGELLAN PROVIDER PIN
IN7276444OtherAETNA PIN
IN000000222725OtherANTHEM PIN #
IN263939000OtherMAGELLAN PROVIDER PIN