Provider Demographics
NPI:1679297774
Name:POWELL, VALERIE L (QMHS)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:L
Last Name:POWELL
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5834 MONROE ST STE A
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2265
Mailing Address - Country:US
Mailing Address - Phone:419-304-3937
Mailing Address - Fax:
Practice Address - Street 1:2053 N 14TH ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620-1912
Practice Address - Country:US
Practice Address - Phone:419-304-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health