MEDICARE: FELICIA LEA POWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C3691A	AL

General Provider Information

NPI Number	:	1497437958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA LEA POWELL

Provider Business Mailing Address
First Line	:	103 CARILLO LN
Second Line	:
City	:	TONEY
State	:	AL
Zip	:	35773-5729
Country	:	US
Telephone Number	:	256-348-3297
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 LONGWOOD DR SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4556
Country	:	US
Telephone Number	:	944-325-6886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	08/03/2023

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Directions to “ FELICIA LEA POWELL ” Practice Location

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