Healthcare Provider Details

I. General information

NPI: 1366381188
Provider Name (Legal Business Name): GLO BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5155 CLARETON DR STE 100
AGOURA HILLS CA
91301-6308
US

IV. Provider business mailing address

5155 CLARETON DR STE 100
AGOURA HILLS CA
91301-6308
US

V. Phone/Fax

Practice location:
  • Phone: 805-377-5501
  • Fax:
Mailing address:
  • Phone: 805-377-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEGAN STILLWELL
Title or Position: FOUNDER
Credential:
Phone: 805-377-5501