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

Inner Glow Early Intervention LLC

Organization Specialist · NPI 1508691551

Inner Glow Early Intervention LLC is a Specialist in Roosevelt, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 Mirin Ave
Roosevelt, NY 11575-1624
Phone: (929) 434-7076
Fax: (516) 442-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X
Specialist Taxonomy 174400000X

Record details

NPI number1508691551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Lawrence — Special Instructor · (929) 434-7076
Other names Inner Glow Early Intervention Llc; Patricia V Lawrence; Early Intervention/Special Instruction; Patricia V Lawrence
NPI enumeratedSeptember 7, 2024
Last updated in NPPESSeptember 7, 2024
Certification dateSeptember 6, 2024
Mailing address140 Mirin Ave, Roosevelt, NY 11575-1624

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