MEDICARE: MR. MARCELLUS HOWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	11416	SC
2	101YP2500X	Professional Counselor	LPC014464	GA

General Provider Information

NPI Number	:	1467268094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARCELLUS HOWELL

Provider Business Mailing Address
First Line	:	13287 ARBOR POINTE CIR APT 202
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-1110
Country	:	US
Telephone Number	:	813-727-4332
Fax Number	:

Provider Business Practice Location Address
First Line	:	13287 ARBOR POINTE CIR APT 202
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-1110
Country	:	US
Telephone Number	:	813-727-4332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	04/14/2026

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