Provider Demographics
NPI:1053563098
Name:HOWELL-NWAOGWUGWU, MAUDLYN MAUDRIAN (LPC)
Entity type:Individual
Prefix:
First Name:MAUDLYN
Middle Name:MAUDRIAN
Last Name:HOWELL-NWAOGWUGWU
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 1:8216 MARIE LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2024
Mailing Address - Country:US
Mailing Address - Phone:682-331-1226
Mailing Address - Fax:
Practice Address - Street 1:8216 MARIE LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2024
Practice Address - Country:US
Practice Address - Phone:682-331-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CT002061101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health