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General NPI Number Information
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NPI Number | 1265969208
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Entity Type | Organization
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Legal Business Name | GENELL HOWELL LMHC LLC
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 73-1204 MAHILANI DR
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City | KAILUA KONA
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State | HI
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Zip | 96740-9453
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Country | US
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Telephone | 808-895-8451
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2288
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City | TAOS
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State | NM
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Zip | 87571-2288
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Country | US
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Telephone | 808-895-8451
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GENELL HOWELL
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Credential | MA
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Telephone | 808-895-8451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 437
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License Number State | HI
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