Provider Demographics
NPI:1780562124
Name:POWELL, LAURA FITZGERALD ATKINS (LPC-A, ADC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:FITZGERALD ATKINS
Last Name:POWELL
Suffix:
Gender:F
Credentials:LPC-A, ADC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:FITZGERALD
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC-A, CAD-C
Mailing Address - Street 1:4615 FOREST DR APT 422
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3179
Mailing Address - Country:US
Mailing Address - Phone:304-634-7711
Mailing Address - Fax:
Practice Address - Street 1:1777 BULL ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2523
Practice Address - Country:US
Practice Address - Phone:803-814-5559
Practice Address - Fax:800-878-7600
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCADC-2331101YA0400X
SC8925101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)