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General NPI Number Information
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NPI Number | 1548050909
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Entity Type | Organization
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Legal Business Name | POWELLS COUNSELING AND CONSULTATION SERVICES LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 20525 CENTER RIDGE RD STE 505
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3447
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Country | US
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Telephone | 216-688-7926
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Fax |
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Provider Business Mailing Address
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Address Line | 20525 CENTER RIDGE RD STE 505
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3447
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Country | US
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Telephone | 216-688-7926
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | JENNIFER SUE POWELL
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Credential | LISWS
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Telephone | 216-688-7926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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