Provider Demographics
NPI:1730352923
Name:HOWELL, GEORGE KEITH (MA, MDIV, EDS)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:KEITH
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MA, MDIV, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 MITCHELL MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NC
Mailing Address - Zip Code:28675-8470
Mailing Address - Country:US
Mailing Address - Phone:336-372-4177
Mailing Address - Fax:
Practice Address - Street 1:159 MITCHELL MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NC
Practice Address - Zip Code:28675-8470
Practice Address - Country:US
Practice Address - Phone:336-372-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC 945101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional