Healthcare Provider Details

I. General information

NPI: 1932059060
Provider Name (Legal Business Name): OLIVIA ELIZABETH GLOSSA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 W WASHINGTON BLVD
CHICAGO IL
60607-2217
US

IV. Provider business mailing address

932 W WASHINGTON BLVD
CHICAGO IL
60607-2217
US

V. Phone/Fax

Practice location:
  • Phone: 312-226-7984
  • Fax:
Mailing address:
  • Phone: 312-226-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number39330
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022098
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: