Provider Demographics
NPI:1518786292
Name:POWELL, ANDREA LAMEL (LMSW)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LAMEL
Last Name:POWELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:LAMEL
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2049 LAKE TRAIL DR.
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:832-766-4017
Mailing Address - Fax:
Practice Address - Street 1:424 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1568
Practice Address - Country:US
Practice Address - Phone:469-743-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110721104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty