Powell, Penni Ackerman

Powell, Penni Ackerman is an sole proprietor health care provider with primary practice located at 1717 Cleveland Ave , Charlotte NC 28203-4735. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Powell, Penni Ackerman can be contacted via phone (704) 372-8004.

Contact Information

Primary practice address
1717 Cleveland Ave Charlotte NC 28203-4735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000536 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 255 North Carolina

Profile Details

NPI number 1477591550
LBN Legal business name Powell, Penni Ackerman
Credentials M.S.W., L.C.S.W
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Oct 29th, 2007 - about 17 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 1477591550 NPPES
North Carolina Other 8538A BLUE CROSS NC

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