Provider Demographics
NPI:1114658721
Name:POWELL, MARGARET RENEE (LCMHC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:RENEE
Last Name:POWELL
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMHC
Mailing Address - Street 1:515 KEISLER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7097
Mailing Address - Country:US
Mailing Address - Phone:919-239-9534
Mailing Address - Fax:919-230-0760
Practice Address - Street 1:515 KEISLER DR STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7097
Practice Address - Country:US
Practice Address - Phone:919-239-9534
Practice Address - Fax:919-230-0760
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health