Provider Demographics
NPI:1104452994
Name:HOWELL, MONYETTA MARIE (LCMHC-A, LCAS-A, NCC)
Entity type:Individual
Prefix:MRS
First Name:MONYETTA
Middle Name:MARIE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LCMHC-A, LCAS-A, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 875
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27285-0875
Mailing Address - Country:US
Mailing Address - Phone:919-641-8388
Mailing Address - Fax:
Practice Address - Street 1:2216 W. MEADOWVIEW ROAD
Practice Address - Street 2:WILMINGTON BLDG. SUITE 207
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407
Practice Address - Country:US
Practice Address - Phone:919-641-8388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14778101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health