MEDICARE: MRS. TAMEKIA DENISE POWELL MA, LCAS, LCMHCS

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	101Y00000X	Counselor	S9348	NC
2	101YM0800X	Mental Health Counselor	S9348	NC
3	101YP2500X	Professional Counselor	S9348	NC
4	251B00000X	Case Management Agency		NC
5	251B00000X	Case Management Agency	S9348	NC
6	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1861636870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMEKIA DENISE POWELL MA, LCAS, LCMHCS

Provider Business Mailing Address
First Line	:	3948 BROWNING PL STE 205
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-6512
Country	:	US
Telephone Number	:	919-426-5901
Fax Number	:

Provider Business Practice Location Address
First Line	:	3948 BROWNING PL STE 205
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-6512
Country	:	US
Telephone Number	:	919-426-5901
Fax Number	:

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

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	09/30/2021

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