GLU FACTORY, INC (NPI# 1033592894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033592894 |
| Entity Type | Organization |
| Organization Name | GLU FACTORY, INC |
| Practice Address |
1200 N Thornton St Suite F Clovis NM 88101-5508 |
| Practice Telephone | 5759354458 |
| Mailing Telephone | 5759354458 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | YVETTE PICKETT (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 5759354458 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 6533578 | 05 |
| Street Address |
1200 N THORNTON ST SUITE F |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578940144 | Elizabeth Merrill | Counselor | 1200 N Thornton St, Suite J, Clovis, NM 88101-5508 | 2015-05-01 |
| 1639711260 | James Joseph Padilla | Counselor | 1200 N Thornton St, Clovis, NM 88101-5508 | 2019-10-15 |
| 1487018248 | Holley Quintana | Case Manager/Care Coordinator | 1200 N Thornton St, Suite J, Clovis, NM 88101-5508 | 2016-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141681 | Toribio Psychological Services | Community/Behavioral Health | 3097 Willow Ave Ste 5, Clovis, CA 93612-4715 | 2020-07-22 |
| 1063051167 | Quality Group Homes, Inc. | Community/Behavioral Health | 4165 E Perrin Rd, Clovis, CA 93619-9118 | 2020-01-06 |
| 1780167684 | Kings View Corporation | Community/Behavioral Health | 1521 Tollhouse Rd Ste G, Clovis, CA 93611-0529 | 2018-09-07 |
| 1831696038 | California Integrative Recovery Centers, LLC | Community/Behavioral Health | 55 Shaw Ave Ste 212, Clovis, CA 93612-3819 | 2018-04-12 |
| 1518342849 | The Bashful Elephant | Community/Behavioral Health | 3097 Willow Ave Ste 4, Clovis, CA 93612-4715 | 2015-07-28 |
| 1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
| 1912347741 | Clovis Hybrid Autism Program (chaps) | Community/Behavioral Health | 965 N Sunnyside Ave, Clovis, CA 93611-8171 | 2013-06-25 |
| 1275812992 | Life Changes Counseling & Consulting, Inc | Community/Behavioral Health | 2300 N Main St Ste 29, Clovis, NM 88101-3575 | 2011-08-11 |
| 1194035790 | Just 4 Kidz,inc | Community/Behavioral Health | 2833 Helm Ave, Clovis, CA 93612-4829 | 2010-10-15 |
| 1972953875 | Achievements Unlimited | Community/Behavioral Health | 106 Pollasky Ave Ste D, Clovis, CA 93612-1159 | 2016-06-21 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.