Healthcare Provider Details

I. General information

NPI: 1760728828
Provider Name (Legal Business Name): RISHEE SHAWNELLE PASCHAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 LIME QUARRY RD STE 212
MADISON AL
35758-8976
US

IV. Provider business mailing address

11462 INNOCENT TRL
MADISON AL
35756-1104
US

V. Phone/Fax

Practice location:
  • Phone: 256-278-2802
  • Fax:
Mailing address:
  • Phone: 407-960-9875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: