MEDICARE: GLIDE PATH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1427942184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLIDE PATH SERVICES LLC

Provider Business Mailing Address
First Line	:	9419 PARK BLUFF TER
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23838-8957
Country	:	US
Telephone Number	:	352-256-2331
Fax Number	:

Provider Business Practice Location Address
First Line	:	7546 MIDLOTHIAN TPKE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225
Country	:	US
Telephone Number	:	804-817-3314
Fax Number	:	804-817-3314

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. ERIC CLARKE
Credential	:
Telephone Number	:	352-256-2331

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	06/06/2025

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Directions to “GLIDE PATH SERVICES LLC ” Practice Location

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