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NPI Code Detail

MEDICARE: DR. FELECIA RENITA POWELL-WILLIAMS ED.D

MEDICARE: DR. FELECIA RENITA POWELL-WILLIAMS ED.D
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 Counselor15276TX

General Provider Information

NPI Number : 1740346287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FELECIA RENITA POWELL-WILLIAMS ED.D
Provider Business Mailing Address
First Line : 2519 LAVACA LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-1846
Country : US
Telephone Number : 713-530-3714
Fax Number : 281-344-9582
Provider Business Practice Location Address
First Line : 900 LOVETT BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3908
Country : US
Telephone Number : 713-530-3714
Fax Number : 281-344-9582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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