Individual
SANA AMELIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5424 W US HWY 290 SERVICE ROAD, SUITE 108, AUSTIN, TX 78735
(512) 953-3843
Mailing address
85 E NEWTON ST STE 802, BOSTON, MA 02118-2841
(617) 638-8013
(617) 414-1975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1085267
TX
Other
Enumeration date
07/01/2017
Last updated
11/07/2024
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