Healthcare Provider Details

I. General information

NPI: 1376941237
Provider Name (Legal Business Name): NATALIE ATWELL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 CONCORD PKWY S STE 100
CONCORD NC
28027-2705
US

IV. Provider business mailing address

280 CONCORD PKWY S STE 100
CONCORD NC
28027-2705
US

V. Phone/Fax

Practice location:
  • Phone: 980-209-6328
  • Fax:
Mailing address:
  • Phone: 980-209-6328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7482
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number1184
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NATALIE ATWELL
Title or Position: OWNER
Credential: LCMHC
Phone: 980-209-6428