MEDICARE: KENASIA GLOVER LPC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	92776	TX
2	101YM0800X	Mental Health Counselor	11020	SC

General Provider Information

NPI Number	:	1588464481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENASIA GLOVER LPC

Provider Business Mailing Address
First Line	:	2500 E TC JESTER BLVD STE 243
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1454
Country	:	US
Telephone Number	:	832-377-1571
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 E TC JESTER BLVD STE 243
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1454
Country	:	US
Telephone Number	:	832-377-1571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	07/21/2025

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Directions to “ KENASIA GLOVER LPC” Practice Location

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