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

Nova via Glendale LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1801764212

Nova via Glendale LLC is an Addiction (Substance Use Disorder) Counselor in Glendale, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
14
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

6830 N 55th Ave Ste 100
Glendale, AZ 85301
Phone: (480) 543-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Integrative Medicine Physician (primary) Taxonomy 202D00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Behavior Technician Taxonomy 106S00000X
Chiropractor Taxonomy 111N00000X
Nutritionist Taxonomy 133N00000X
Registered Nurse Taxonomy 163W00000X
Licensed Practical Nurse Taxonomy 164W00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Adult Medicine Physician Taxonomy 207QA0505X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1801764212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Jolly — Chief Compliance Officer · (480) 543-7432
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address6830 N 55th Ave, Suite 100, Glendale, AZ 85301

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