=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881507770
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GLOW AND GROW THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2026
-----------------------------------------------------
Last Update Date | 09/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 717 JEFFERSON ST
-----------------------------------------------------
City | TELL CITY
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47586-1758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-719-2043
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 161
-----------------------------------------------------
City | TELL CITY
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47586-0161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-719-2043
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SLP
-----------------------------------------------------
Name | MORGAN REED
-----------------------------------------------------
Credential | M.S. CCC-SLP
-----------------------------------------------------
Telephone | 812-719-2043
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------