MEDICARE: MRS. MACHELL L ENGEL M.S., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2008027305	MO

General Provider Information

NPI Number	:	1679721187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MACHELL L ENGEL M.S., LPC

Provider Business Mailing Address
First Line	:	3808 W APRIL ST
Second Line	:
City	:	BATTLEFIELD
State	:	MO
Zip	:	65619-8401
Country	:	US
Telephone Number	:	417-234-1154
Fax Number	:

Provider Business Practice Location Address
First Line	:	2032 E KEARNEY ST
Second Line	:	SUITE 204
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-4610
Country	:	US
Telephone Number	:	417-234-1154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	12/30/2010

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