Powell, Annie M

Powell, Annie M is an sole proprietor health care provider with primary practice located at 1236 Southridge Ct Ste 207 , Hurst TX 76053-4284. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Powell, Annie M can be contacted via phone (877) 257-2282.

Contact Information

Primary practice address
1236 Southridge Ct Ste 207 Hurst TX 76053-4284
Phone: (877) 257-2282
Fax: (877) 257-2282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1861989782
LBN Legal business name Powell, Annie M
Credentials LCDC, MHPS, RSPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2018
Last updated May 13th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861989782 NPPES
Texas MEDICAID 380106001

Popular Providers