Provider Demographics
NPI:1821350562
Name:HOWLAND, TARA CHRISTI (LPC)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:CHRISTI
Last Name:HOWLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:LAXSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:400 S ZANG BLVD
Mailing Address - Street 2:SUITE 806
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-6600
Mailing Address - Country:US
Mailing Address - Phone:214-300-1128
Mailing Address - Fax:
Practice Address - Street 1:400 S ZANG BLVD
Practice Address - Street 2:SUITE 806
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-6600
Practice Address - Country:US
Practice Address - Phone:214-300-1128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional