MR. CHARLES EDWARD GLENN (NPI# 1154534857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154534857 |
| Entity Type | Individual |
| Full Name | MR. CHARLES EDWARD GLENN |
| Credential | M.A., M.F.T. |
| Practice Address |
3530 Long Beach Blvd Suite 203 Long Beach CA 90807-3942 |
| Mailing Address |
3533 Carlin Ave Lynwood CA 90262-5113 |
| Practice Telephone | 3106355179 |
| Practice Fax Number | 3105377136 |
| Mailing Telephone | 3106355179 |
| Mailing Fax Number | 3105377136 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 09280 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508038530 | Charles Francis Glenn | Student in an Organized Health Care Education/Training Program | 4308 Lloyd St, Kansas City, KS 66103-3228 | 2008-03-31 |
| 1124163522 | Charles A Glenn Jr. | Dentist | 2904 Old Forest Rd, Lynchburg, VA 24501-2320 | 2007-02-21 |
| 1881663524 | Charles Raymond Glenn | Chiropractor | 2183 Mariner Blvd, Spring Hill, FL 34609-3860 | 2006-03-15 |
| 1093102717 | Charles H Glenn | Physical Therapist | 445 Savannah Hwy, Charleston, SC 29407-7207 | 2015-04-21 |
| 1609995034 | Charles R. Glenn | Registered Nurse | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2007-03-28 |
| 1316016348 | Charles Stephfon Glenn | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2006-11-06 |
| Street Address |
3530 LONG BEACH BLVD SUITE 203 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664002 | Christopher Joseph Bauss | Marriage & Family Therapist | 521 Ultimo Ave, Long Beach, CA 90814-2046 | 2020-09-19 |
| 1487268876 | Tiffany Amber Hooton | Marriage & Family Therapist | 4510 E Pacific Coast Hwy Ste 540, Long Beach, CA 90804-6941 | 2020-09-02 |
| 1144845306 | Sara Povey | Marriage & Family Therapist | 1635 E Ocean Blvd Unit 3a, Long Beach, CA 90802-6041 | 2020-06-13 |
| 1649890955 | Lori Lynn Mann | Marriage & Family Therapist | 6695 E Pacific Coast Hwy Ste 250, Long Beach, CA 90803-4256 | 2020-04-16 |
| 1528606191 | Joseph Buchman | Marriage & Family Therapist | 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807-5410 | 2019-12-13 |
| 1952944951 | April Dawn Malden | Marriage & Family Therapist | 3412 N Greenbrier Rd, Long Beach, CA 90808-2515 | 2019-10-22 |
| 1639729817 | Valetta Melanie Kirchner | Marriage & Family Therapist | 1057 Belmont Ave Apt B, Long Beach, CA 90804-4225 | 2019-09-18 |
| 1639727209 | Fairy Shaw | Marriage & Family Therapist | 4700 Clair Del Ave Apt 545, Long Beach, CA 90807-1329 | 2019-08-28 |
| 1184271496 | Aline Inocencio | Marriage & Family Therapist | 555 E Ocean Blvd Ste 638, Long Beach, CA 90802-5077 | 2019-08-21 |
| 1366003600 | Meredith Anne Freijo | Marriage & Family Therapist | 4401 Atlantic Ave Ste 430, Long Beach, CA 90807-2240 | 2019-06-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on MR. CHARLES EDWARD GLENN.
| 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.