Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Glen Edward Tisdale, LPC

Individual provider Counselor · NPI 1851843437

Mr. Glen Edward Tisdale, LPC is a Counselor in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4235 Valleyfield St
San Antonio, TX 78222-3714
Phone: (210) 709-5848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 73414 (TX)
Counselor Taxonomy 101Y00000X · Licence 73414 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 73414 (TX)

Record details

NPI number1851843437
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 28, 2016
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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