| Doctor Name: | MISS ENJOLE DIONNE POWELL |
| NPI Number: | 1083962146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MACC |
| License Number: | 69421 |
| Business Practice Address: | 312 E Renfro St Suite 201 Burleson, TX - 760283947 |
| Business Phone Number: | 8172958708 |
| Business Fax Number: | 8172958708 |
| Mailing Address: | 312 E Renfro St, Suite 201 BURLESON |
| State: | TX |
| Postal Code: | 760283947 |
| Phone Number: | 8172958708 |
| Fax Number: | 8172958708 |
| NPI Enumeration Date: | 08/21/2012 |
| NPI Last Update Date: | 08/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 69421 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |