MEDICARE: GLO BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	251B00000X	Case Management Agency
3	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1366381188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLO BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	5155 CLARETON DR STE 100
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-6308
Country	:	US
Telephone Number	:	805-377-5501
Fax Number	:

Provider Business Practice Location Address
First Line	:	5155 CLARETON DR STE 100
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-6308
Country	:	US
Telephone Number	:	805-377-5501
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MRS. MEGAN STILLWELL
Credential	:
Telephone Number	:	805-377-5501

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	04/06/2026

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Directions to “GLO BEHAVIORAL HEALTH LLC ” Practice Location

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