Doctor Name: | MRS. CARLA B POWELL |
NPI Number: | 1184728487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C0266 |
Business Practice Address: | 908b Robinson St Ocean Springs, MS - 395644624 |
Business Phone Number: | 2288722020 |
Business Fax Number: | 2288722027 |
Mailing Address: | Po Box 645, OCEAN SPRINGS |
State: | MS |
Postal Code: | 395660645 |
Phone Number: | 2288722020 |
Fax Number: | 2288722027 |
NPI Enumeration Date: | 09/08/2006 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C0266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |