Doctor Name: | EMILY POWELL |
NPI Number: | 1013315258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, LPCA |
License Number: | 10882 |
Business Practice Address: | 705 Main St Pineville, NC - 281347372 |
Business Phone Number: | 7047517775 |
Business Fax Number: | |
Mailing Address: | 6731 William Harry Ct, CHARLOTTE |
State: | NC |
Postal Code: | 282115694 |
Phone Number: | 7045760832 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2014 |
NPI Last Update Date: | 12/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 10882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |