Healthcare Provider Details

I. General information

NPI: 1194931246
Provider Name (Legal Business Name): MICHAEL GLENN SEMON ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 VALLEYDALE RD
BIRMINGHAM AL
35244-2019
US

IV. Provider business mailing address

2540 VALLEYDALE ROAD
BIRMINGHAM AL
35244
US

V. Phone/Fax

Practice location:
  • Phone: 205-991-3683
  • Fax:
Mailing address:
  • Phone: 205-991-3683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number360
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number28
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: