Healthcare Provider Details

I. General information

NPI: 1316896749
Provider Name (Legal Business Name): GLADE POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 TOWNSEND FARM DR
BROWNS SUMMIT NC
27214-9049
US

IV. Provider business mailing address

714 TOWNSEND FARM DR
BROWNS SUMMIT NC
27214-9049
US

V. Phone/Fax

Practice location:
  • Phone: 614-316-0598
  • Fax:
Mailing address:
  • Phone: 614-316-0598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. YEYETUNDE FAWOLE
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 614-316-0598