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Provider Information for 1194834390


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Mrs. JACKIE DENESE POWELL M.Ed, LPC-S, LMFT


Sex: Female

NPI: 1194834390
Last Updated: 2020-08-06
Certification Date: 2020-08-06

Details

NameValue
NPI1194834390
Enumeration Date2006-08-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 5154 FAULKNER DR
DARROW, LA 70725-2525
United States

Phone: 225-574-4752 | Fax:
 
Primary Practice Address 1200 S ACADIAN THRUWAY
BATON ROUGE, LA 70806-6900
United States

Phone: 225-831-4998 | Fax:225-831-4997
 
Secondary Practice Address(es)

5154 FAULKNER DR
DARROW, LA 70725-2525
United States

Phone: 318-503-4278 | Fax:
 

1520 THOMAS H DELPIT DR STE 125
BATON ROUGE, LA 70802-6626
United States

Phone: 225-636-2395 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalTX77206
No 106H00000X - Marriage & Family Therapist LA858
Yes 101YP2500X - Counselor - ProfessionalLA2935