| Powell Counseling Center, Pllc | |
|
2924 Fox Pl Mooresboro NC 28114-9793 | |
| (828) 429-1240 | |
| (828) 657-5923 |
| Full Name | Powell Counseling Center, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2924 Fox Pl, Mooresboro, North Carolina |
| Authorized Official Name and Position | James E. Powell (OWNER) |
| Authorized Official Contact | 8284291240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Counseling Center, Pllc 2924 Fox Pl Mooresboro NC 28114-9793 Ph: (828) 429-1240 | Powell Counseling Center, Pllc 2924 Fox Pl Mooresboro NC 28114-9793 Ph: (828) 429-1240 |
| NPI Number | 1750612396 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750612396 | NPI | - | NPPES |
| 1639165012 | Other | NPI INDIVIDUAL | |
| 139VY | Other | NC | BCBS |
| E0338-B0775 | Other | NC | MEDCOST |
| 2246448 | Other | NC | CIGNA |
| 6102211 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC 3658 (North Carolina) | Primary |
My Therapy Nc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2579 Harris Henrietta Rd., Mooresboro, NC 28114 Phone: 704-300-6922 |