Provider Demographics
NPI:1538404173
Name:HOWARD, KIMEON SHABRET (MS, LAPC)
Entity type:Individual
Prefix:
First Name:KIMEON
Middle Name:SHABRET
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 COMER AVENUE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907
Mailing Address - Country:US
Mailing Address - Phone:706-596-5500
Mailing Address - Fax:
Practice Address - Street 1:2100 COMER AVENUE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907
Practice Address - Country:US
Practice Address - Phone:706-596-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2016-04-04
Deactivation Date:2013-05-21
Deactivation Code:
Reactivation Date:2016-04-04
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor