Provider Demographics
NPI:1205177896
Name:RIVET HOWELL, LETHA A (MS COUNSELING)
Entity Type:Individual
Prefix:MRS
First Name:LETHA
Middle Name:A
Last Name:RIVET HOWELL
Suffix:
Gender:F
Credentials:MS COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24331 NORWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5150
Mailing Address - Country:US
Mailing Address - Phone:561-339-6904
Mailing Address - Fax:
Practice Address - Street 1:23922 PHEASANT RUN CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5309
Practice Address - Country:US
Practice Address - Phone:561-339-6904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22901101YM0800X
103K00000X
IL180012409101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst