=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841177474
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANTWON HOWELL
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2025
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 732 S 6TH ST
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89101-6948
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-955-3818
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5929 FOREST CREEK RD
-----------------------------------------------------
City | N LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89031-1746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-955-3818
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
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 | NV20253389379
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------