MEDICARE: GLORY SOLUTIONS LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1902731169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2234 S HAMILTON RD STE 103
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4389
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 S HAMILTON RD STE 103
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4389
Country	:	US
Telephone Number	:	380-895-7111
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHABRELLE COX
Credential	:
Telephone Number	:	380-895-7111

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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