Provider Demographics
NPI:1700447042
Name:KIM HOWARD LCMHC PLLC
Entity Type:Organization
Organization Name:KIM HOWARD LCMHC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:GENEEN
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CAGS, LCMHC
Authorized Official - Phone:603-289-0919
Mailing Address - Street 1:763 HAYWARD ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-4421
Mailing Address - Country:US
Mailing Address - Phone:603-289-0919
Mailing Address - Fax:
Practice Address - Street 1:6 MOHAWK DR
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3757
Practice Address - Country:US
Practice Address - Phone:603-289-0919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health