Provider Demographics
NPI:1114582939
Name:LAMLEY, HOWARD FOOTE III (PHD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:FOOTE
Last Name:LAMLEY
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-5769
Mailing Address - Country:US
Mailing Address - Phone:406-830-3294
Mailing Address - Fax:406-258-0367
Practice Address - Street 1:715 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-5769
Practice Address - Country:US
Practice Address - Phone:406-830-3294
Practice Address - Fax:406-258-0367
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-1512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health