SearchVirginia101YP2500X

Glenn Fowlkes, LPC

NPI 1760881080 · on the registry since 2014 · sole proprietor

Practice

Address
1 Mill St
#102
Farmville, VA 23901
Phone
(434) 298-7318
Organisation at this address
Forever Endeavor Llc
Good Life Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia