Provider Demographics
NPI:1528526183
Name:SCHNUELLE, ARCHIE (LMFT, MAC)
Entity type:Individual
Prefix:
First Name:ARCHIE
Middle Name:
Last Name:SCHNUELLE
Suffix:
Gender:M
Credentials:LMFT, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2149 THISTLE LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-9038
Mailing Address - Country:US
Mailing Address - Phone:334-275-0608
Mailing Address - Fax:
Practice Address - Street 1:708 AVENUE D
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-4962
Practice Address - Country:US
Practice Address - Phone:334-275-0608
Practice Address - Fax:334-826-0952
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-03
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL508652101YA0400X
AL367106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL12378304OtherALL INSURANCES