Provider Demographics
NPI:1811984156
Name:POWER, RAYMOND CHRISTOPHER SR (LPC)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:CHRISTOPHER
Last Name:POWER
Suffix:SR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HIGHLAND VILLAGE RD
Mailing Address - Street 2:BLDG. 8, STE. 810
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7148
Mailing Address - Country:US
Mailing Address - Phone:972-966-1080
Mailing Address - Fax:972-499-0002
Practice Address - Street 1:2300 HIGHLAND VILLAGE RD
Practice Address - Street 2:BLDG. 8, STE. 810
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7148
Practice Address - Country:US
Practice Address - Phone:972-966-1080
Practice Address - Fax:972-499-0002
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002011101YP2500X
VA0717000437106H00000X
TX74666101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA265306OtherANTHEM
VA004945085Medicaid
VAO82438OtherSENTARA BEHAVIORAL HEALTH