Provider Demographics
NPI:1902621014
Name:SATCHELL, KRISTA MICHELE
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:MICHELE
Last Name:SATCHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35904-5100
Mailing Address - Country:US
Mailing Address - Phone:205-960-9885
Mailing Address - Fax:
Practice Address - Street 1:307 S 5TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4258
Practice Address - Country:US
Practice Address - Phone:256-393-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health