Provider Demographics
NPI:1174194625
Name:HOWARD, TASHAWN D (LPC-A)
Entity Type:Individual
Prefix:MR
First Name:TASHAWN
Middle Name:D
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10626 BAINBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-2624
Mailing Address - Country:US
Mailing Address - Phone:713-254-7108
Mailing Address - Fax:
Practice Address - Street 1:10626 BAINBRIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-2624
Practice Address - Country:US
Practice Address - Phone:713-254-7108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional