Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glow Up Therapy

Organization Clinical Social Worker · NPI 1265090500

Glow Up Therapy is a Clinical Social Worker in Mystic, Connecticut. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

11 Main St
Mystic, CT 06355-3654
Phone: (860) 772-4424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1265090500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Jelden — Co-Owner · (860) 772-4424
NPI enumeratedJune 2, 2019
Last updated in NPPESJune 11, 2019
Mailing address11 Main St, Mystic, CT 06355-3654

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