Provider Demographics
NPI:1477117299
Name:POWERS, CHELSIE LYNN (CANADIDATE FOR LPC)
Entity Type:Individual
Prefix:MISS
First Name:CHELSIE
Middle Name:LYNN
Last Name:POWERS
Suffix:
Gender:F
Credentials:CANADIDATE FOR LPC
Other - Prefix:MISS
Other - First Name:CHELSIE
Other - Middle Name:
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CANADIDATE FOR LPC
Mailing Address - Street 1:618 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5221
Mailing Address - Country:US
Mailing Address - Phone:405-889-9188
Mailing Address - Fax:
Practice Address - Street 1:2921 NW 156TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-2101
Practice Address - Country:US
Practice Address - Phone:405-513-7794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor