Provider Demographics
NPI:1679721187
Name:ENGEL, MACHELL L (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:MACHELL
Middle Name:L
Last Name:ENGEL
Suffix:
Gender:F
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 1:3808 W APRIL ST
Mailing Address - Street 2:
Mailing Address - City:BATTLEFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65619-8401
Mailing Address - Country:US
Mailing Address - Phone:417-234-1154
Mailing Address - Fax:
Practice Address - Street 1:2032 E KEARNEY ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65803-4610
Practice Address - Country:US
Practice Address - Phone:417-234-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008027305101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health