Provider Demographics
NPI:1841564952
Name:POWELL, MEYOSHIA
Entity Type:Individual
Prefix:MS
First Name:MEYOSHIA
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 1:4514 DUMAC RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-2612
Mailing Address - Country:US
Mailing Address - Phone:423-240-7542
Mailing Address - Fax:
Practice Address - Street 1:1401 WILLIAMS ST
Practice Address - Street 2:SUITE 206
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-1101
Practice Address - Country:US
Practice Address - Phone:423-702-5508
Practice Address - Fax:423-702-5512
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker