Glenn R. Waller, LPC
- Affiliated sites
- 3
- State license
- 1
- Year NPI issued
- 2006
- Practice locations
- 2
- Practice address
- 5510 Hwy 363, Mantachie, MS 38855
- Practice phone
- Call (662) 282-4226
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mantachie Rural Health Care Behavioral Health Clinic
FQHC - Main Site · Mantachie, Mississippi
Find Glenn Waller's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Glenn R. Waller is a professional counselor in Mantachie, Mississippi
Glenn Waller practices at Mantachie Rural Health Care Behavioral Health Clinic in Mantachie, Mississippi.
Glenn Waller's NPI, 1689607814, was assigned on July 9, 2006. Glenn Waller holds Mississippi license 0695.
- NPI
- 1689607814NPI Registry (opens in a new tab)
- NPI enumeration date
- July 9, 2006
- NPI status
- Active
- Practice phone
- (662) 282-4226
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Glenn R. Waller practices at 2 locations in Mantachie, Mississippi
Glenn Waller's primary practice is Mantachie Rural Health Care Behavioral Health Clinic, at 5510 Hwy 363, Mantachie, MS 38855. The practice phone is (662) 282-4226. The NPI Registry lists Glenn Waller's practice address as 311 Mustang Dr, Mantachie, MS 38855.
- Mantachie Rural Health Care Behavioral Health ClinicPrimary5510 Hwy 363, Mantachie, MS 38855Phone(662) 282-4226
- NPI Registry address311 Mustang Dr, Mantachie, MS 38855 · Itawamba County
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Glenn R. Waller is affiliated with 3 sites of care
Glenn Waller's primary practice is Mantachie Rural Health Care Behavioral Health Clinic in Mantachie, Mississippi. Dmand AI also links Glenn Waller to 2 community health centers, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Glenn R. Waller's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Glenn Waller practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mantachie Rural Health Care Behavioral Health Clinic | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Glenn R. Waller is one of 271 professional counselors in Mississippi
Professional is Glenn Waller's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Glenn Waller is licensed in Mississippi.
Specialties and state licenses
- Professional counselor, MississippiPrimary
Professional counselors near Glenn Waller
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Glenn R. Waller's patients have a median age of 27
Across all payers, Dmand AI patient panel data puts Glenn Waller's median patient age at 27, with 100% women.
Glenn Waller's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 27
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Sources for Glenn R. Waller's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Glenn R. Waller
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Glenn R. Waller's NPI number?
Glenn R. Waller's NPI number is 1689607814. It was assigned on July 9, 2006, and it is active in the NPI Registry.
What does Glenn R. Waller specialize in?
Glenn R. Waller is a professional counselor in Mantachie, Mississippi. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Glenn R. Waller practice?
Glenn Waller practices at 5510 Hwy 363, Mantachie, MS 38855. Glenn Waller also practices at 311 Mustang Dr, Mantachie, MS 38855. Glenn Waller's primary practice is Mantachie Rural Health Care Behavioral Health Clinic in Mantachie, Mississippi. Dmand AI also links Glenn Waller to 2 community health centers.
What is Glenn R. Waller's office phone number?
The practice phone on file for Glenn Waller is (662) 282-4226.
What is Glenn R. Waller's medical license number?
Glenn Waller holds Mississippi license 0695.
How long has Glenn R. Waller been practicing?
Glenn Waller's NPI was assigned in 2006.
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