Provider Demographics
NPI:1801071519
Name:POWELL, ESTHER (MSCC, LPCMH)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:POWELL
Suffix:
Gender:F
Credentials:MSCC, LPCMH
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:R
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSCC, LPCMH
Mailing Address - Street 1:11 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-2850
Mailing Address - Country:US
Mailing Address - Phone:302-299-6341
Mailing Address - Fax:
Practice Address - Street 1:11 STANLEY AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-2850
Practice Address - Country:US
Practice Address - Phone:302-299-6341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health