Healthcare Provider Details

I. General information

NPI: 1740913151
Provider Name (Legal Business Name): WHITNEY HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2022
Last Update Date: 04/13/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 MUDDY CREEK RD STE 100
CINCINNATI OH
45238-2058
US

IV. Provider business mailing address

642 JOHNS AVE
MANSFIELD OH
44903-1155
US

V. Phone/Fax

Practice location:
  • Phone: 513-347-0375
  • Fax:
Mailing address:
  • Phone: 517-920-1909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number414083.
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: