Powell, Evan Mccoy

Powell, Evan Mccoy is an individual health care provider with primary practice located at 4140 Cherry St , Winston Salem NC 27105-2536. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Powell, Evan Mccoy can be contacted via phone (336) 306-9620.

Contact Information

Primary practice address

4140 Cherry St Winston Salem NC 27105-2536

Phone: (336) 306-9620

Fax: (336) 245-8839

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder)	101YA0400X	2913-A	North Carolina
Behavioral Health & Social Service Providers / Professional	101YP2500X	A11130	North Carolina

Profile Details

NPI number	1174868848
LBN Legal business name	Powell, Evan Mccoy
Credentials	LPCA, LCASA
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 6th, 2012
Last updated	Jan 13th, 2015 - about 11 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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