Provider Demographics
NPI:1437709722
Name:HOWARD, NYTEA C (LMSW, CCM)
Entity Type:Individual
Prefix:MS
First Name:NYTEA
Middle Name:C
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LMSW, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 SOUTHMORE BLVD # 1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7421
Mailing Address - Country:US
Mailing Address - Phone:832-459-1216
Mailing Address - Fax:
Practice Address - Street 1:2508 SOUTHMORE BLVD # 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7421
Practice Address - Country:US
Practice Address - Phone:832-459-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
4241854171M00000X
TX54083104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator