Healthcare Provider Details

I. General information

NPI: 1679008742
Provider Name (Legal Business Name): SATCHELL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 04/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 SE OSCEOLA ST
STUART FL
34994-2211
US

IV. Provider business mailing address

218 SE OSCEOLA ST
STUART FL
34994-2211
US

V. Phone/Fax

Practice location:
  • Phone: 772-763-9540
  • Fax: 844-269-7702
Mailing address:
  • Phone: 772-763-9540
  • Fax: 844-269-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW11474
License Number StateFL

VIII. Authorized Official

Name: SHERRY JEANNE SATCHELL
Title or Position: AMBR
Credential: LCSW
Phone: 772-215-4974