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General NPI Number Information
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NPI Number | 1649316118
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Entity Type | Organization
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Legal Business Name | THE CARPENTER'S HOUSE, PC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 601 BEL AIR BLVD SUITE 409
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City | MOBILE
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State | AL
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Zip | 36606-3513
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Country | US
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Telephone | 251-476-9994
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Fax | 251-476-9928
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Provider Business Mailing Address
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Address Line | 601 BEL AIR BLVD SUITE 409
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City | MOBILE
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State | AL
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Zip | 36606-3513
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Country | US
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Telephone | 251-476-9994
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Fax | 251-476-9928
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GLENN D ARCHER
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Credential | ED.D.
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Telephone | 251-476-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 531
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3
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License Number State | AL
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