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General NPI Number Information
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NPI Number | 1730042102
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Entity Type | Organization
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Legal Business Name | GLO COUNSELING AND OUTREACH SERVICES
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 838 MARGARET PL
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City | SHREVEPORT
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State | LA
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Zip | 71101-4509
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Country | US
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Telephone | 318-425-3222
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Fax | 318-425-8999
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Provider Business Mailing Address
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Address Line | 838 MARGARET PL
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City | SHREVEPORT
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State | LA
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Zip | 71101-4509
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Country | US
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Telephone | 318-425-3222
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Fax | 318-425-8999
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Authorized Official
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Title or Position | OWNER
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Name | GLORIA MILLENDER
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Credential | LPC
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Telephone | 318-393-2798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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