| Powell Psychotherapy, Llc | |
|
1896 Derrill Dr Decatur GA 30032-7001 | |
| (762) 235-9497 | |
| (762) 251-8881 |
| Full Name | Powell Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1896 Derrill Dr, Decatur, Georgia |
| Authorized Official Name and Position | Kathy Elisabeth Powell (OWNER) |
| Authorized Official Contact | 7622359497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Psychotherapy, Llc 520 W Ponce De Leon Ave Unit 14 Decatur GA 30031-4100 Ph: (762) 235-9497 | Powell Psychotherapy, Llc 1896 Derrill Dr Decatur GA 30032-7001 Ph: (762) 235-9497 |
| NPI Number | 1639026461 |
|---|---|
| Provider Enumeration Date | 03/11/2026 |
| Last Update Date | 03/11/2026 |
| Certification Date | 03/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639026461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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