Provider Demographics
NPI:1174146468
Name:HOWARD, NAKIA SHONTELLE (LPC)
Entity type:Individual
Prefix:
First Name:NAKIA
Middle Name:SHONTELLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 THIMBLE SHOALS BLVD STE 303B
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4503
Mailing Address - Country:US
Mailing Address - Phone:757-325-9575
Mailing Address - Fax:757-282-5963
Practice Address - Street 1:610 THIMBLE SHOALS BLVD STE 303B
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4503
Practice Address - Country:US
Practice Address - Phone:757-325-9575
Practice Address - Fax:757-282-5963
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional