Powell, Terri J

Powell, Terri J is an sole proprietor health care provider with primary practice located at 845 Lane Allen Rd Suite B-5, Lexington KY 40504-3655. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Powell, Terri J can be contacted via phone (859) 373-0572.

Contact Information

Primary practice address
845 Lane Allen Rd Suite B-5 Lexington KY 40504-3655
Phone: (859) 373-0572
Fax: (859) 373-0572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1740 Kentucky
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0373 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1740 Kentucky

Profile Details

NPI number 1003939653
LBN Legal business name Powell, Terri J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Oct 23rd, 2020 - about 5 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 1003939653 NPPES
Kentucky Other K052780 MEDICARE PTAN

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