GLORY DAYS SUPPORT SERVICE, LLC (NPI# 1619514312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619514312 |
| Entity Type | Organization |
| Organization Name | GLORY DAYS SUPPORT SERVICE, LLC |
| Practice Address |
625 Piney Forest Rd, Suite 302c Same Danville VA 24540 |
| Practice Telephone | 4344212196 |
| Practice Fax Number | 4346884713 |
| Mailing Telephone | 4344212196 |
| Mailing Fax Number | 4346884713 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | CAMILLA KAYCEO HENRY PETTY (CEO/OWNER) |
| Authorized Official Telephone | 4346884711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | T60227306 | 05 |
| Other Name | Type Code |
|---|---|
| Glory Days Transportation, LLC | Former Legal Business Name - Organization |
| Glory Days, LLC | Former Legal Business Name - Organization |
| Street Address |
625 PINEY FOREST RD, SUITE 302C, SAME |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| 1437468881 | Negril, Inc | Counselor | 2601 North Main Street, Danville, VA 24540 | 2010-10-04 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898087 | Patrick Oneil Garland Sr. | Counselor | 874 Claiborne St, Danville, VA 24540-3636 | 2020-10-10 |
| 1225641335 | Kenny E Lewis | Counselor | 519 Downing Dr, Danville, VA 24541-5208 | 2020-08-28 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1659832483 | Steven Jeffrey Burdette | Counselor | 100 Berwick Dr, Danville, KY 40422-2722 | 2019-03-26 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1124517131 | Breaking Through: A Clinical & Consulting Firm, Inc. | Counselor | 177 Riverview Dr Uppr Level, Danville, VA 24541-3419 | 2018-05-04 |
| 1033620455 | Ghazala A Khan | Counselor | 115 Town and Country, Danville, CA 94568-9456 | 2017-10-12 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1003367525 | National Counseling Group | Counselor | 151 Deer Run Rd, Danville, VA 24540-2863 | 2016-10-19 |
| Find all providers in DANVILLE | ||||
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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.