1508994997 NPI number — MR. MICHAEL ALLEN QUNELL M. ED., LPC

Table of content: MRS. DAWN MARIE ZIELINSKI RPH (NPI 1326362328)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508994997 NPI number — MR. MICHAEL ALLEN QUNELL M. ED., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUNELL
Provider First Name:
MICHAEL
Provider Middle Name:
ALLEN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M. ED., LPC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
QUNELL, M. ED., LPC
Provider Other First Name:
MICHAEL
Provider Other Middle Name:
ALLEN
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M. ED., LPC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1508994997
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 272
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROWNWOOD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76804-0272
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
325-646-6203
Provider Business Mailing Address Fax Number:
325-643-5701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2222 HWY. 377 SOUTH CENTENNIAL POINT STE. # 14
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROWNWOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-646-6203
Provider Business Practice Location Address Fax Number:
325-643-5701
Provider Enumeration Date:
02/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  11967 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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