Provider Demographics
NPI:1720563737
Name:MONSOUR, HOWARD PAUL III (LCDC, LPC-INTERN)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:PAUL
Last Name:MONSOUR
Suffix:III
Gender:M
Credentials:LCDC, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 62ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5852
Mailing Address - Country:US
Mailing Address - Phone:817-240-7313
Mailing Address - Fax:
Practice Address - Street 1:4913 S LOOP 289 STE 100
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1630
Practice Address - Country:US
Practice Address - Phone:806-412-4721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80392101YP2500X
TX13246101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional