Provider Demographics
NPI:1700484201
Name:POWELL, TORRIE LUCIANA (LCSWA, LCASA)
Entity Type:Individual
Prefix:MRS
First Name:TORRIE
Middle Name:LUCIANA
Last Name:POWELL
Suffix:
Gender:F
Credentials:LCSWA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 TOWN CENTER DR
Mailing Address - Street 2:STE 130 UNIT 125
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-0049
Mailing Address - Country:US
Mailing Address - Phone:910-682-0566
Mailing Address - Fax:
Practice Address - Street 1:3011 TOWN CENTER DR
Practice Address - Street 2:STE 130 UNIT 125
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-0049
Practice Address - Country:US
Practice Address - Phone:910-682-0566
Practice Address - Fax:910-390-8707
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0151681041C0700X
NCLCAS-25350101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty