Provider Demographics
NPI:1538859723
Name:FOREMAN-POWELL, LAMONTE DESHAWN (PLMHP)
Entity type:Individual
Prefix:
First Name:LAMONTE
Middle Name:DESHAWN
Last Name:FOREMAN-POWELL
Suffix:
Gender:M
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 OKIKA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-4574
Mailing Address - Country:US
Mailing Address - Phone:757-447-8532
Mailing Address - Fax:
Practice Address - Street 1:5410 S 99TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-3214
Practice Address - Country:US
Practice Address - Phone:531-203-5224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health