1134312218 NPI number — MRS. AMY KATHRYN POWERS LPC

Table of content: MRS. AMY KATHRYN POWERS LPC (NPI 1134312218)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134312218 NPI number — MRS. AMY KATHRYN POWERS LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POWERS
Provider First Name:
AMY
Provider Middle Name:
KATHRYN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BERRYHILL
Provider Other First Name:
AMY
Provider Other Middle Name:
KATHRYN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PLC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1134312218
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/02/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 TRADERS CROSS
Provider Second Line Business Mailing Address:
SUITE 240
Provider Business Mailing Address City Name:
BLUFFTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29909-4637
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-338-5917
Provider Business Mailing Address Fax Number:
843-705-8196

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 TRADERS CROSS
Provider Second Line Business Practice Location Address:
SUITE 240
Provider Business Practice Location Address City Name:
BLUFFTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29909-4637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-338-5917
Provider Business Practice Location Address Fax Number:
843-705-8196
Provider Enumeration Date:
08/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  5219 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com