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

The G.l.u. Club, LLC

Organization Clinical Child & Adolescent Psychologist · NPI 1508165986

The G.l.u. Club, LLC is a Clinical Child & Adolescent Psychologist in Charlotte, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
9
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

9156 Eventine Ct
Charlotte, NC 28214-9323
Phone: (704) 712-6998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Public Health or Welfare Agency Taxonomy 251K00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1508165986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Massey — Program Director · (704) 712-6998
NPI enumeratedMarch 24, 2011
Last updated in NPPESMarch 24, 2011
Mailing address9156 Eventine Ct, Charlotte, NC 28214-9323

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