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NPI Code Detail

MEDICARE: SHIRLEY HOWELL LCPC, LAC, LCSW

MEDICARE: SHIRLEY HOWELL LCPC, LAC, LCSW
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
1101YP2500XProfessional Counselor944MT
2101YA0400XAddiction (Substance Use Disorder) Counselor903MT
31041C0700XClinical Social Worker796MT
41041C0700XClinical Social Worker6318-CNV

General Provider Information

NPI Number : 1437165099
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY HOWELL LCPC, LAC, LCSW
Provider Business Mailing Address
First Line : 1701 W CHARLESTON BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2313
Country : US
Telephone Number : 702-251-8000
Fax Number :
Provider Business Practice Location Address
First Line : 1701 W CHARLESTON BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2313
Country : US
Telephone Number : 702-251-8000
Fax Number : 702-471-0120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 04/13/2022

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