Healthcare Provider Details

I. General information

NPI: 1700275773
Provider Name (Legal Business Name): COURTNEY POWERS MA, LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2015
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 E KING ST
HILLSBOROUGH NC
27278-2570
US

IV. Provider business mailing address

133 E KING ST
HILLSBOROUGH NC
27278-2570
US

V. Phone/Fax

Practice location:
  • Phone: 336-212-0283
  • Fax:
Mailing address:
  • Phone: 336-212-0283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11098
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: