National Provider Identifier

Lucas Conner Atwell

Lucas Conner Atwell is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 661-8330.

NPI 1215585401Jamestown, NYMental Health Counselor

Profile Overview

NPI
1215585401
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 30, 2019
Last Updated
August 30, 2019

Practice Location

  • 200 E 3Rd St Ste 5
  • Jamestown, NY 14701-5433

Phone: (716) 661-8330

Mailing Address

  • 2 Academy St Rm 201
  • Mayville, NY 14757-1050

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1215585401
Entity Type
Individual
Last Name
Atwell
First Name
Lucas
Middle Name
Conner
Mailing Street Address
2 Academy St Rm 201
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-1050
Mailing Country
US
Mailing Phone
(716) 753-4104
Mailing Fax
(716) 753-4230
Practice Street Address
200 E 3Rd St Ste 5
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8330
Practice Fax
(716) 661-8364
Enumeration Date
August 30, 2019
Last Updated
August 30, 2019
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)