| Doctor Name: | DR. MICHAEL L POWELL |
| NPI Number: | 1053348474 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., LPC, LADAC |
| License Number: | 0299L |
| Business Practice Address: | 1200 W Walnut St Ste 1500 Rogers, AR - 727563521 |
| Business Phone Number: | 4792633839 |
| Business Fax Number: | |
| Mailing Address: | 1200 W Walnut St, Ste 1500 ROGERS |
| State: | AR |
| Postal Code: | 727563521 |
| Phone Number: | 4792633839 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 12/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0299L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |