Individual
ANNIE M POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, MHPS, RSPS
Contact information
Practice address
1236 SOUTHRIDGE CT STE 207, HURST, TX 76053-4284
(877) 257-2282
(877) 257-2282
Mailing address
PO BOX 3472, COPPELL, TX 75019-9472
(214) 883-9520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380106001
—
TX
Enumeration date
04/16/2018
Last updated
05/13/2024
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