Provider Demographics
NPI:1437670346
Name:MURRELL, ROCHELLE W
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:W
Last Name:MURRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28080 US HIGHWAY 98 STE C
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7012
Mailing Address - Country:US
Mailing Address - Phone:251-586-8541
Mailing Address - Fax:
Practice Address - Street 1:28080 US HIGHWAY 98 STE C
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7012
Practice Address - Country:US
Practice Address - Phone:251-586-8541
Practice Address - Fax:251-586-8561
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health