MR. LARRY MALONE POWELL (NPI# 1427498336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427498336 |
| Entity Type | Individual |
| Full Name | MR. LARRY MALONE POWELL |
| Practice Address |
4343 Williamsbourgh Drive Sacramento CA 95823 |
| Mailing Address |
4343 Williamsbourgh Dr Sacramento CA 95823-2006 |
| Practice Telephone | 9163953552 |
| Practice Fax Number | 9164735766 |
| Mailing Telephone | 9163953552 |
| Mailing Fax Number | 9164735786 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RW7223 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710241799 | Larry Darnell Powell | Counselor | 9738 Sanilac St, Detroit, MI 48224-1250 | 2012-06-25 |
| 1497976427 | Larry Don Powell | Dentist | 110 Este Way, Suite A, Hot Springs Village, AR 71909 | 2007-05-01 |
| 1457485310 | Larry Clinton Powell | Counselor | 1769 Park Ave Ste 210, San Jose, CA 95126-2025 | 2007-03-15 |
| 1780727966 | Larry D Powell | Counselor | 1601 2nd Ave N Ste 218, Great Falls, MT 59401-3243 | 2007-02-15 |
| 1831448331 | Larry V Powell | Pharmacist | 10599 Dorchester Rd, Summerville, SC 29485-8047 | 2012-08-30 |
| 1609917442 | Larry F. Powell | Pharmacist | 793 Eastern By-pass, Suite G-01, Richmond, KY 40475 | 2007-02-12 |
| 1144271669 | Larry Dean Powell | Family Medicine | 301 Wanda St, Marietta, OK 73448-1229 | 2006-05-12 |
| Street Address |
4343 WILLIAMSBOURGH DRIVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558446179 | Wellspace Health | Community/Behavioral Health | 4343 Williamsbourgh Drive, Sacramento, CA 95823-2006 | 2006-10-25 |
| 1720517519 | Azaria Ting | Counselor | 4343 Williamsbourgh Drive, Sacramento, CA 95833 | 2017-06-06 |
| 1164807319 | Alloise Jackson-riley | Counselor | 4343 Williamsbourgh Drive, Sacramento, CA 95832 | 2015-07-29 |
| 1801270004 | Odecshia Washington | Counselor | 4343 Williamsbourgh Drive, 1810 Del Paso Blvd #b, Sacramento, CA 95823 | 2015-07-17 |
| 1134508294 | Felisha Macias | Counselor | 4343 Williamsbourgh Drive, Sacramento, CA 95823 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on MR. LARRY MALONE POWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.