Provider Demographics
NPI:1861063414
Name:FANCHER, ALLIE
Entity type:Individual
Prefix:
First Name:ALLIE
Middle Name:
Last Name:FANCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:
Other - Last Name:BEILSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4371 NARROW LANE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2975
Mailing Address - Country:US
Mailing Address - Phone:334-747-7756
Mailing Address - Fax:334-747-7760
Practice Address - Street 1:4371 NARROW LANE RD STE 201
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2975
Practice Address - Country:US
Practice Address - Phone:334-747-7756
Practice Address - Fax:334-747-7760
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05718101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty