Provider Demographics
NPI:1912157769
Name:POWELL, NORMA FAYE (LCPC)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:FAYE
Last Name:POWELL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 ASTILBE WAY
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2931
Mailing Address - Country:US
Mailing Address - Phone:301-642-5133
Mailing Address - Fax:443-236-3533
Practice Address - Street 1:2015 ASTILBE WAY
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2931
Practice Address - Country:US
Practice Address - Phone:301-642-5133
Practice Address - Fax:443-236-3533
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2311101YM0800X, 103TC1900X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty