Powell, Nicole Marie

Powell, Nicole Marie is an individual health care provider with primary practice located at 187 W Schrock Rd , Westerville OH 43081-2890. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Powell, Nicole Marie can be contacted via phone (614) 355-8315.

Contact Information

Primary practice address
187 W Schrock Rd Westerville OH 43081-2890
Phone: (614) 355-8315
Fax: (614) 355-8381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-8397 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6804 Ohio

Profile Details

NPI number 1265731970
LBN Legal business name Powell, Nicole Marie
Credentials PSYD, BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Sep 7th, 2012 - about 13 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 1265731970 NPPES
Ohio MEDICAID 2846675

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