Doctor Name: | KIMEON SHABRET HOWARD |
NPI Number: | 1538404173 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LAPC |
License Number: | |
Business Practice Address: | 2100 Comer Avenue Columbus, GA - 31907 |
Business Phone Number: | 7065965500 |
Business Fax Number: | |
Mailing Address: | 2100 Comer Avenue, COLUMBUS |
State: | GA |
Postal Code: | 31907 |
Phone Number: | 7065965500 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2012 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 05/21/2013 |
NPI Reactivation Date: | 04/04/2016 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |