Provider Demographics
NPI:1447331541
Name:ATWELL, RICHARD SUMMERELL (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:SUMMERELL
Last Name:ATWELL
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8760 THREE NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619-5008
Mailing Address - Country:US
Mailing Address - Phone:251-343-9411
Mailing Address - Fax:251-343-9412
Practice Address - Street 1:6001 GRELOT RD
Practice Address - Street 2:SUITE D
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3609
Practice Address - Country:US
Practice Address - Phone:251-343-9411
Practice Address - Fax:251-343-9412
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1275101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health