Healthcare Provider Details

I. General information

NPI: 1912293481
Provider Name (Legal Business Name): SHARYL DIANE HOWARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARI DIANE HOWARD LPC/RPT

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 NW W HWY
KINGSVILLE MO
64061-9117
US

IV. Provider business mailing address

441 NW W HWY
KINGSVILLE MO
64061-9117
US

V. Phone/Fax

Practice location:
  • Phone: 816-308-0246
  • Fax: 816-566-0486
Mailing address:
  • Phone: 816-308-0246
  • Fax: 816-566-0486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2009009728
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: