Provider Demographics
NPI:1912792938
Name:HOWZE, MYLISHA (DOULA)
Entity type:Individual
Prefix:
First Name:MYLISHA
Middle Name:
Last Name:HOWZE
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 SHIRLEY DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-5617
Mailing Address - Country:US
Mailing Address - Phone:314-299-6116
Mailing Address - Fax:
Practice Address - Street 1:3909 SHIRLEY DR
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-5617
Practice Address - Country:US
Practice Address - Phone:314-299-6116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula