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A Glorious Place LLC — NPI 1043952880, Ellicott City, MD | NPI Central

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NPI 1043952880

OrganizationActive

A Glorious Place LLC

NPI 1043952880 · Psychiatric/Mental Health Nurse Practitioner · Ellicott City, MD

Provider details

NPI number: 1043952880
Entity type: Organization
Primary specialty: Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Glory Tataw, Ceo(410) 696-2645

Specialties & taxonomies

Psychiatric/Mental Health Nurse PractitionerPrimary363LP0808X
Physician Assistants & Advanced Practice Nursing Providers
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X
Ambulatory Health Care Facilities
Substance Use Disorder Rehabilitation Clinic/Center261QR0405X
Ambulatory Health Care Facilities
Psychiatric Residential Treatment Facility323P00000X
Residential Treatment Facilities

Practice location

3203a Corporate Ct

Ellicott City, MD 21042-2247

Phone: (410) 205-2458

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

3203a Corporate Ct

Ellicott City, MD 21042-2247

Additional practice locations (1)

1629 K St Nw Ste 300
Washington, DC 20006-1631
Phone: (410) 696-2645
Fax: (667) 354-5522

Registry dates

Enumerated: 2022-04-12
Last updated: 2025-02-21
Certified: 2025-02-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.