Provider Demographics
NPI:1770214751
Name:KHOWELL SERVICES LLC
Entity type:Organization
Organization Name:KHOWELL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:KIONNA
Authorized Official - Middle Name:TIERNEY
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-877-4142
Mailing Address - Street 1:5831 FORWARD AVE # 1338
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2301
Mailing Address - Country:US
Mailing Address - Phone:412-877-4142
Mailing Address - Fax:
Practice Address - Street 1:249 EDGEWOOD AVE # 1010
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1595
Practice Address - Country:US
Practice Address - Phone:412-312-5095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health