| Doctor Name: | GLENDA STRONG |
| NPI Number: | 1124474242 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS-A |
| License Number: | 22051 |
| Business Practice Address: | 3057 S Legacy Park Blvd Indian Land, SC - 297077816 |
| Business Phone Number: | 7042227718 |
| Business Fax Number: | 8094317192 |
| Mailing Address: | 3057 S Legacy Park Blvd, INDIAN LAND |
| State: | SC |
| Postal Code: | 297077816 |
| Phone Number: | 7042227718 |
| Fax Number: | 8094317192 |
| NPI Enumeration Date: | 05/07/2016 |
| NPI Last Update Date: | 05/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 22051 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |