Healthcare Provider Details

I. General information

NPI: 1326183807
Provider Name (Legal Business Name): GLENN D ARCHER ED.D., LPC, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BEL AIR BLVD SUITE 409
MOBILE AL
36606-3513
US

IV. Provider business mailing address

601 BEL AIR BLVD SUITE 409
MOBILE AL
36606-3513
US

V. Phone/Fax

Practice location:
  • Phone: 251-476-9994
  • Fax: 251-476-9928
Mailing address:
  • Phone: 251-476-9994
  • Fax: 251-476-9928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number531
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: