Provider Demographics
NPI:1548326127
Name:GLOVER, ALAINE BARKER (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALAINE
Middle Name:BARKER
Last Name:GLOVER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 GREENWOOD ACRES DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-5187
Mailing Address - Country:US
Mailing Address - Phone:770-887-7148
Mailing Address - Fax:
Practice Address - Street 1:425 TRIBBLE GAP RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2441
Practice Address - Country:US
Practice Address - Phone:770-889-7789
Practice Address - Fax:770-781-6303
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1738101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA6228958Medicare UPIN
GA95824Medicare UPIN
GA131086Medicare UPIN
GA7816486Medicare UPIN
GA155994Medicare UPIN
GA182915Medicare UPIN