Healthcare Provider Details

I. General information

NPI: 1619407947
Provider Name (Legal Business Name): PAULA POWERS LPC-CR, CAMSII
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 S 12TH ST
CAMBRIDGE OH
43725-2449
US

IV. Provider business mailing address

1200 E WHEELING AVE
CAMBRIDGE OH
43725-2510
US

V. Phone/Fax

Practice location:
  • Phone: 740-432-1800
  • Fax: 740-432-9299
Mailing address:
  • Phone: 740-432-1800
  • Fax: 740-432-9299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1700185
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: