Provider Demographics
NPI:1861009615
Name:KYLIE HOWELL ENTERPRISES LLC
Entity Type:Organization
Organization Name:KYLIE HOWELL ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KYLIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-223-2768
Mailing Address - Street 1:508 HILLOCK TRCE
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3919
Mailing Address - Country:US
Mailing Address - Phone:205-223-2768
Mailing Address - Fax:
Practice Address - Street 1:300 OFFICE PARK DR STE 205
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2473
Practice Address - Country:US
Practice Address - Phone:205-223-2768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)