Powell, Deja Victoria

Powell, Deja Victoria is an individual health care provider with primary practice located at 5607 Nw 27Th Ave , Miami FL 33142-2826. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Powell, Deja Victoria can be contacted via phone (305) 637-6400.

Contact Information

Primary practice address
5607 Nw 27Th Ave Miami FL 33142-2826
Phone: (305) 637-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1346831245
LBN Legal business name Powell, Deja Victoria
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2021
Last updated Feb 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346831245 NPPES
Florida MEDICAID P400-178-805-0

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