Provider Demographics
NPI:1811492390
Name:HOWELL, CHRISTY WELCH
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:WELCH
Last Name:HOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24711 COUNTY ROAD 20 LOT E24
Mailing Address - Street 2:
Mailing Address - City:ELBERTA
Mailing Address - State:AL
Mailing Address - Zip Code:36530-6696
Mailing Address - Country:US
Mailing Address - Phone:205-213-4610
Mailing Address - Fax:
Practice Address - Street 1:24711 COUNTY ROAD 20 LOT E24
Practice Address - Street 2:
Practice Address - City:ELBERTA
Practice Address - State:AL
Practice Address - Zip Code:36530-6696
Practice Address - Country:US
Practice Address - Phone:205-213-4610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
AL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician