Peters, Glennis E

Peters, Glennis E is an individual health care provider with primary practice located at 97 Great Teays Blvd Ste 6 , Scott Depot WV 25560. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Peters, Glennis E can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
97 Great Teays Blvd Ste 6 Scott Depot WV 25560
Phone: (304) 757-6999
Fax: (304) 757-3252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1691 West Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 218606 West Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 1691 West Virginia

Profile Details

NPI number 1952426736
LBN Legal business name Peters, Glennis E
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952426736 NPPES
West Virginia Other 218606 NBCC
West Virginia Other 1691 NBCC
West Virginia MEDICAID 1952426736 NBCC

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