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NPI Code Detail

MEDICARE: MISHEL POWELL LMHC

MEDICARE:   MISHEL  POWELL  LMHC
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
1101YM0800XMental Health Counselor39004057AIN

General Provider Information

NPI Number : 1134899529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISHEL POWELL LMHC
Provider Business Mailing Address
First Line : 1514 TINA MARIE CIR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-2435
Country : US
Telephone Number : 317-535-7303
Fax Number :
Provider Business Practice Location Address
First Line : 1514 TINA MARIE CIR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-2435
Country : US
Telephone Number : 317-535-7303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 10/04/2024

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Directions to “ MISHEL POWELL LMHC” Practice Location

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