Provider Demographics
NPI:1376941237
Name:NATALIE ATWELL COUNSELING SERVICES
Entity Type:Organization
Organization Name:NATALIE ATWELL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ATWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:980-621-7815
Mailing Address - Street 1:6712 MACEDONIA CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8412
Mailing Address - Country:US
Mailing Address - Phone:980-621-7815
Mailing Address - Fax:
Practice Address - Street 1:6712 MACEDONIA CHURCH RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-8412
Practice Address - Country:US
Practice Address - Phone:980-621-7815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7482101YM0800X
NC1184101YP1600X
NC101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty