Glover, Lashanta Regena

Glover, Lashanta Regena is an individual health care provider with primary practice located at 1547 Parkway , Greenwood SC 29646-4081. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Glover, Lashanta Regena can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Greenwood SC 29646-4081
Phone: (864) 229-7120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15491 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 882 South Carolina

Profile Details

NPI number 1578985578
LBN Legal business name Glover, Lashanta Regena
Credentials M.A., LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2014
Last updated Apr 4th, 2024 - about 7 months 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 1578985578 NPPES
South Carolina MEDICAID 421504
South Carolina Other 3335

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