Provider Demographics
NPI:1043703739
Name:POWELL, CHRISTA JO (LPC-MHSP, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:JO
Last Name:POWELL
Suffix:
Gender:F
Credentials:LPC-MHSP, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 211
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-0211
Mailing Address - Country:US
Mailing Address - Phone:828-692-6383
Mailing Address - Fax:828-692-6748
Practice Address - Street 1:21 FOX RUN DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7231
Practice Address - Country:US
Practice Address - Phone:423-416-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003726101YP2500X
NC2294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist