Provider Demographics
NPI:1093886277
Name:CALHOUN, HOWARD (LPCS, LCAS, CCS)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:LPCS, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 VAIL RD
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27863-9446
Mailing Address - Country:US
Mailing Address - Phone:919-271-2668
Mailing Address - Fax:919-635-3388
Practice Address - Street 1:3439 CASEY ST
Practice Address - Street 2:
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569
Practice Address - Country:US
Practice Address - Phone:843-756-7171
Practice Address - Fax:843-756-7176
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5488101YP2500X
NC1049101YA0400X
NC6750101YS0200X
NC4485101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102665Medicaid
SCPC1267Medicaid