Provider Demographics
NPI:1750754388
Name:GLOVER, ALAINA (LPC)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:GLOVER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:770 HIGHWAY 153
Mailing Address - Street 2:
Mailing Address - City:CASTOR
Mailing Address - State:LA
Mailing Address - Zip Code:71016-4286
Mailing Address - Country:US
Mailing Address - Phone:318-505-6280
Mailing Address - Fax:
Practice Address - Street 1:770 HIGHWAY 153
Practice Address - Street 2:
Practice Address - City:CASTOR
Practice Address - State:LA
Practice Address - Zip Code:71016-4286
Practice Address - Country:US
Practice Address - Phone:318-505-6280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8774101Y00000X, 101YM0800X, 101YP2500X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1467745000OtherNPI
LA1467745000Medicaid