Provider Demographics
NPI:1750745022
Name:POWELL, NADIA
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:POWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 CARROLLWOOD VILLAGE DR
Mailing Address - Street 2:321
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-6001
Mailing Address - Country:US
Mailing Address - Phone:504-266-2522
Mailing Address - Fax:
Practice Address - Street 1:1799 STUMPF BLVD
Practice Address - Street 2:BUILDING 7 SUITE 10
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-3950
Practice Address - Country:US
Practice Address - Phone:504-266-2522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health