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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIETTE POWELL, LICDC

Active Sole Proprietor

WILLIETTE POWELL, LICDC is a Peer Specialist healthcare provider located in CLEVELAND, Ohio. NPI 1043758907 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · CLEVELAND, OH

Registration Details

NPI Number
1043758907
Provider Type
Individual
Gender
Female
NPI Issued
Feb 10, 2017 (9.32192256409 yrs)
Last Updated
Oct 8, 2020
Licenses
161339 (OH)
S.1700304 (OH)
Sole Proprietor
Yes

Practice Information

Address
13422 KINSMAN RD
CLEVELAND, OH, 441204410
Browse OH providers · Browse ZIP 44120
Phone
2162834400
Fax
2162835359
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in CLEVELAND, OH

Name Credential NPI
MS. DESIREE D REID 1659785798
LALESCIA LAVONE HURT PEER SUPPORT SPECIAL 1073069563
MR. JOHNNIE CHRISTIAN CDCA PEER SUPPORT 1578002499
SHAWN HARDY CDCA 1356854574
KIMBERLY ANN SMITH CPST 1912413006
JAMIE PARHAM CDCA 1124535752
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.