Provider Demographics
NPI:1861636870
Name:POWELL, TAMEKIA DENISE (MA, LCAS, LCMHCS)
Entity Type:Individual
Prefix:MRS
First Name:TAMEKIA
Middle Name:DENISE
Last Name:POWELL
Suffix:
Gender:F
Credentials:MA, LCAS, LCMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3948 BROWNING PL STE 205
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6512
Mailing Address - Country:US
Mailing Address - Phone:919-426-5901
Mailing Address - Fax:
Practice Address - Street 1:3948 BROWNING PL STE 205
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6512
Practice Address - Country:US
Practice Address - Phone:919-426-5901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS9348101Y00000X, 101YM0800X, 101YP2500X, 251B00000X
NC251B00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251B00000XAgenciesCase Management