Provider Demographics
NPI:1013249937
Name:HOWELL, ELAINE MARGARET (PCC)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:MARGARET
Last Name:HOWELL
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:MARGARET
Other - Last Name:LUNDSTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCC
Mailing Address - Street 1:521 N BRIGHTLEAF BLVD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-4407
Mailing Address - Country:US
Mailing Address - Phone:919-989-5576
Mailing Address - Fax:919-989-5576
Practice Address - Street 1:521 N BRIGHTLEAF BLVD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4407
Practice Address - Country:US
Practice Address - Phone:919-989-5576
Practice Address - Fax:919-989-5576
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional