Benny Lee Powell MDIV, LCAC

  • NPI 1215163316
According to our database, the NPI number for Benny Lee Powell MDIV, LCAC is 1215163316 and activated since 14 years ago. Benny Lee Powell MDIV, LCAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 2100 Goshen Rd, Fort Wayne, IN 46808. You can also contact Benny Lee Powell MDIV, LCAC via telephone number is (240) 471-3500. Provider NPI information was last updated on 10/26/2010.

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Overview of Benny Lee Powell MDIV, LCAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/03/2009
  • Last updated: 10/26/2010

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 87000082A
  • License State: IN

Provider Mailing Address

  • Address: 850 N Harrison St
    Attn: Anne Lawson - Credentialing
    Warsaw, IN 46580
  • Phone: 574-267-7169
  • Fax: 574-269-0597

Provider Practice Location

  • Address: 2100 Goshen Rd
    Fort Wayne, IN 46808
  • Phone: 240-471-3500
  • Fax: 260-471-4263

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 87000082A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Benny Lee Powell MDIV, LCAC?
  • A: The npi number for Benny Lee Powell MDIV, LCAC is 1215163316.
  • Q: What are Benny Lee Powell MDIV, LCAC's specialties?
  • A: Benny Lee Powell MDIV, LCAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Benny Lee Powell MDIV, LCAC?
  • A: The medical license number for Benny Lee Powell MDIV, LCAC is 87000082A and issued in IN in USA.
  • Q: Where is Benny Lee Powell MDIV, LCAC practice location?
  • A: Benny Lee Powell MDIV, LCAC is practicing at 2100 Goshen Rd, Fort Wayne, IN 46808.
  • Q: How to contact Benny Lee Powell MDIV, LCAC?
  • A: You can contact Benny Lee Powell MDIV, LCAC via 240-471-3500.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
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