Provider Demographics
NPI:1316437353
Name:ADWELL, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ADWELL
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 1:141 KATHRYNE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35146-6311
Mailing Address - Country:US
Mailing Address - Phone:205-746-0225
Mailing Address - Fax:
Practice Address - Street 1:6169 US HIGHWAY 11
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:AL
Practice Address - Zip Code:35146-4056
Practice Address - Country:US
Practice Address - Phone:205-207-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst