Provider Demographics
NPI:1184390338
Name:HOWARD, MICHELE GEREMINA (LMFTA)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:GEREMINA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 LYNNVILLE CT
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-9389
Mailing Address - Country:US
Mailing Address - Phone:919-753-5556
Mailing Address - Fax:
Practice Address - Street 1:9650 STRICKLAND RD STE 103-180
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-1902
Practice Address - Country:US
Practice Address - Phone:919-569-5820
Practice Address - Fax:919-752-7658
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12330A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty