Healthcare Provider Details

I. General information

NPI: 1073639142
Provider Name (Legal Business Name): PATRICIA MONROE POWELL-PATRICK LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 ROCKINGHAM RD
ROCKINGHAM NC
28379-3615
US

IV. Provider business mailing address

120 LITTLE CHARLES RD
HAMLET NC
28345-8128
US

V. Phone/Fax

Practice location:
  • Phone: 910-562-9882
  • Fax: 910-562-9955
Mailing address:
  • Phone: 910-331-1005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6511
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6511
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: