Provider Demographics
NPI:1801415898
Name:POWERFUL DESIGN CONSULTING, LLC
Entity Type:Organization
Organization Name:POWERFUL DESIGN CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LADC/MH, LPC
Authorized Official - Phone:580-380-9334
Mailing Address - Street 1:122 E WOODCRAFT RD
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:OK
Mailing Address - Zip Code:74723-1833
Mailing Address - Country:US
Mailing Address - Phone:580-380-9334
Mailing Address - Fax:
Practice Address - Street 1:122 E WOODCRAFT RD
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:OK
Practice Address - Zip Code:74723-1833
Practice Address - Country:US
Practice Address - Phone:580-380-9334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty