Provider Demographics
NPI:1790286508
Name:HOWLETT, MELVIN JR
Entity Type:Individual
Prefix:
First Name:MELVIN
Middle Name:
Last Name:HOWLETT
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 N. MARTIN LUTHER KING BLVD
Mailing Address - Street 2:STE. 211
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032
Mailing Address - Country:US
Mailing Address - Phone:702-570-5114
Mailing Address - Fax:
Practice Address - Street 1:3925 N. MARTIN LUTHER KING BLVD
Practice Address - Street 2:STE. 211
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032
Practice Address - Country:US
Practice Address - Phone:702-570-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health