Powell Therapeutics, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POWELL THERAPEUTICS, LLC

Practice address

1805 Chantilly St Ste 126
Richmond, VA 23230-3501

Phone

(757) 254-4644

Fax

(804) 621-7103

NPI assigned

Mar 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Patrice Rena Powell, LPC, LSATP, CSACNPI 1407509698

Title

Owner

Phone

(757) 254-4644

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrice Rena Powell, LPC, LSATP, MAC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1407509698
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1811747728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NEW HARVEST DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315172",
            "telephone_number": "757-254-4644",
            "fax_number": "804-621-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CHANTILLY ST STE 126",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303501",
            "telephone_number": "757-254-4644",
            "fax_number": "804-621-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-254-4644",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC, LSATP, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Poulos, MD
• Daniel Roger Poulsen II, MD
• Milton Andre Pouncy II
• Sheila J Pour, PA-C
• Nima Pourhabibi Zarandi, MD
• Carolina Daccarett Powell, LICSW /LCSW
• David Thomas Powell III, O.D
• Karlos Powell
• Kimberly Jo Powell, OTR/L
• Kristen F Powell, MD

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.