MEDICARE: BEACH GLASS THERAPY, PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1548187800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEACH GLASS THERAPY, PLLC

Provider Business Mailing Address
First Line	:	3600 N DUKE ST STE 1
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-1769
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1026 HIGHLAND WOODS RD
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-4410
Country	:	US
Telephone Number	:	617-468-4916
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BROOKE SCHOBER MUGO
Credential	:
Telephone Number	:	617-468-4916

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

Similar Medicare Providers

1194721340 — DR. SAMUEL EDWIN STEINMETZ M.D.
Practice Location Address:

8210 WALNUT HILL LN , STE 414
DALLAS, TX
75231-4410

Practice Phone: 214-363-6226
Practice Fax: 214-363-6330

1407874381 — NORTH DALLAS INTERNAL MEDICINE, LLP
Practice Location Address:

8210 WALNUT HILL LN STE 416
DALLAS, TX
75231-4410

Practice Phone: 214-696-1118
Practice Fax: 214-696-4447

1700808433 — DR. JEB STUART MIERS M.D.
Practice Location Address:

8210 WALNUT HILL LN STE 812
DALLAS, TX
75231-4410

Practice Phone: 214-696-1118
Practice Fax: 214-696-4447

1306948807 — MR. MICHAEL WADE COLLINS II P.T.
Practice Location Address:

4410 BAY HILL DR
CONWAY, AR
72034-8196

Practice Phone: 318-680-5500
Practice Fax:

1821173840 — MRS. TERESA LYNN PISANI PA C
Practice Location Address:

5421 MAIN ST
SPRING HILL, TN
37174-4410

Practice Phone: 931-486-2500
Practice Fax: 931-486-3748

1831336668 — JENNIFER K LANGLEY ATC
Practice Location Address:

4410 TOWNSHIP LINE RD , APARTMENT K3B
DREXEL HILL, PA
19026-4137

Practice Phone: 484-431-6431
Practice Fax:

Directions to “BEACH GLASS THERAPY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.