Provider Demographics
NPI:1881237345
Name:HOWARD, HEATHER (LSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:TUELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 556
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-0556
Mailing Address - Country:US
Mailing Address - Phone:812-494-9501
Mailing Address - Fax:812-494-9502
Practice Address - Street 1:1027 WASHINGTON AVE STE B
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-2240
Practice Address - Country:US
Practice Address - Phone:812-494-7500
Practice Address - Fax:812-494-7600
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33009234A104100000X
IN34011129A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker