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NPI Code Detail

MEDICARE: GLIMMER COUNSELING GROUP, LLC

MEDICARE: GLIMMER COUNSELING GROUP, 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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1932063823
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLIMMER COUNSELING GROUP, LLC
Provider Business Mailing Address
First Line : 1900 PLEASANT ST UNIT 39
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-3624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 PLEASANT ST UNIT 39
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-3624
Country : US
Telephone Number : 317-537-1484
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TAYLER KOSTECKA
Credential :
Telephone Number : 317-966-2405
Provider Enumeration Date : 12/15/2025
Last Update Date : 01/27/2026

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Directions to “GLIMMER COUNSELING GROUP, LLC ” Practice Location

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