Healthcare Provider Details

I. General information

NPI: 1215847801
Provider Name (Legal Business Name): GLIDDEN THERAPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 AVENUE AT THE CMN STE 106
SHREWSBURY NJ
07702-4560
US

IV. Provider business mailing address

39 AVENUE AT THE CMN STE 106
SHREWSBURY NJ
07702-4560
US

V. Phone/Fax

Practice location:
  • Phone: 732-757-1021
  • Fax:
Mailing address:
  • Phone: 732-757-1021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLINE GLIDDEN
Title or Position: THERAPIST
Credential: LMFT
Phone: 732-757-1021