Individual provider · Type 1 NPI

Glenn Anthony Niles Jr., LPC

Professional Counselor · Grovetown, GA

NPI number 1477065720 Active

Practice location

4039 Gateway Blvd
Grovetown, GA 30813-3389

Fax (678) 369-5762

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC009918 (GA)

Professional Counselor: Definition to come...

22 other providers at this address

Other professional counselor providers in Grovetown

See all in Grovetown →

About NPI 1477065720

Glenn Anthony Niles Jr., LPC's National Provider Identifier is 1477065720, issued on Oct 26, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grovetown, GA. The record was last updated on Feb 20, 2026.