Healthcare Provider Details

I. General information

NPI: 1487581591
Provider Name (Legal Business Name): RACHEL CHARLOTTE GLOGOWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 SW 3RD AVE STE 101
MIAMI FL
33129-3000
US

IV. Provider business mailing address

2121 SW 3RD AVE STE 101
MIAMI FL
33129-3000
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-5364
  • Fax:
Mailing address:
  • Phone: 863-258-6294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27601
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: