=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174057707
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NEIL LLEWELYN HOWELL LMFT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2017
-----------------------------------------------------
Last Update Date | 03/13/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21 ORINDA WAY STE C132
-----------------------------------------------------
City | ORINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94563-2530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-898-6345
-----------------------------------------------------
Fax | 415-306-8754
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21 ORINDA WAY STE C132
-----------------------------------------------------
City | ORINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94563-2530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-898-6345
-----------------------------------------------------
Fax | 415-306-8754
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 869
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 77479
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------