MEDICARE: MR. RAYMOND CHRISTOPHER POWER SR. LPC

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
1	101YP2500X	Professional Counselor	0701002011	VA
2	106H00000X	Marriage & Family Therapist	0717000437	VA
3	101YP2500X	Professional Counselor	74666	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	265306	OTHER	VA	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	O82438	OTHER	VA	SENTARA BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1811984156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAYMOND CHRISTOPHER POWER SR. LPC

Provider Business Mailing Address
First Line	:	2300 HIGHLAND VILLAGE RD
Second Line	:	BLDG. 8, STE. 810
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7148
Country	:	US
Telephone Number	:	972-966-1080
Fax Number	:	972-499-0002

Provider Business Practice Location Address
First Line	:	2300 HIGHLAND VILLAGE RD
Second Line	:	BLDG. 8, STE. 810
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7148
Country	:	US
Telephone Number	:	972-966-1080
Fax Number	:	972-499-0002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	07/20/2016

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Directions to “ MR. RAYMOND CHRISTOPHER POWER SR. LPC” Practice Location

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