Organization
POWELL PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L POWELL PHD (LICENSED PSYCHOLOGIST)
(404) 403-6177
Entity
Organization
Contact information
Practice address
2501 E PIEDMONT RD, SUITE 115, MARIETTA, GA 30062-7752
(404) 403-6177
Mailing address
2501 E PIEDMONT RD, SUITE 115, MARIETTA, GA 30062
(404) 403-6177
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY000981
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000480686A
—
GA
Enumeration date
03/24/2017
Last updated
03/24/2017
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