Leroy Wilson Glenn Jr., LCAS
Counselor, Addiction (Substance Use Disorder) in Lexington, NC. Individual provider (NPI-1).
NPI number1831243054
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1831243054
- Entity type
- Individual (NPI-1)
- Name
- Leroy Wilson Glenn Jr.
- Credential
- LCAS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 688 | NC | Yes |
Practice location
220 East First Avenue ExtensionSuite 10
Lexington, NC 27292-3355
Phone 336-242-2450 · Fax 336-249-9920
Mailing address
1404 Santolina LnLewisville, NC 27023-8622
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Lexington, NC
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All 29 Addiction (Substance Use Disorder) Counselor providers in Lexington · All 943 providers in Lexington
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