Provider Demographics
NPI:1407009715
Name:HOWARD, GLENN T (LMFT)
Entity Type:Individual
Prefix:
First Name:GLENN
Middle Name:T
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1218
Mailing Address - Street 2:
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-1218
Mailing Address - Country:US
Mailing Address - Phone:940-231-4480
Mailing Address - Fax:940-365-1023
Practice Address - Street 1:9540 HWY 377 SOUTH
Practice Address - Street 2:
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258
Practice Address - Country:US
Practice Address - Phone:940-231-4480
Practice Address - Fax:940-365-1023
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4277101YP1600X
TX3955106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral