Provider Demographics
NPI:1376038851
Name:SATCHELL, CHRISTAL ROSE (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTAL
Middle Name:ROSE
Last Name:SATCHELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8368 W BALLOON LN
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428-2713
Mailing Address - Country:US
Mailing Address - Phone:352-464-3606
Mailing Address - Fax:
Practice Address - Street 1:8368 W BALLOON LN
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-2713
Practice Address - Country:US
Practice Address - Phone:352-464-3606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15620101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional