Provider Demographics
NPI:1467888149
Name:HOWARD, CHRISTIE CHERIE (ACSW, QMHP)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:CHERIE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:ACSW, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6082 DARNLEY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-6572
Mailing Address - Country:US
Mailing Address - Phone:702-202-5017
Mailing Address - Fax:
Practice Address - Street 1:7375 PRAIRIE FALCON RD STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0818
Practice Address - Country:US
Practice Address - Phone:725-205-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1061841041C0700X
NV1137P-S101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1467888149Medicaid