Provider Demographics
NPI:1770613788
Name:HOWELL, PHILIP (LMHC)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:HOWELL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 S LAFOUNTAIN ST STE F
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3826
Mailing Address - Country:US
Mailing Address - Phone:765-067-9925
Mailing Address - Fax:888-625-1498
Practice Address - Street 1:3415 S LAFOUNTAIN ST STE F
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3826
Practice Address - Country:US
Practice Address - Phone:765-506-7992
Practice Address - Fax:888-625-1498
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002105A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN2391063OtherCIGNA
IN000000630982OtherANTHEM
IN000456858OtherOPTUM
IN600055345OtherMAGELLAN
IN9380405OtherAETNA