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NPI Code Detail

MEDICARE: MRS. LAKEITHA HOWARD

MEDICARE: MRS. LAKEITHA HOWARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPC003173GA

General Provider Information

NPI Number : 1265791537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAKEITHA HOWARD
Provider Business Mailing Address
First Line : 341 HEATHROW DR
Second Line :
City : RIVERDALE
State : GA
Zip : 30274-2755
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6315 GARDEN WALK BLVD
Second Line :
City : RIVERDALE
State : GA
Zip : 30274-2628
Country : US
Telephone Number : 770-991-7420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2012
Last Update Date : 05/08/2012

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Directions to “ MRS. LAKEITHA HOWARD ” Practice Location

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