Provider Demographics
NPI:1487885851
Name:HOWLAND, TRACY (LCPC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:HOWLAND
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4481 ASH GROVE DR STE B
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62711-6359
Mailing Address - Country:US
Mailing Address - Phone:217-247-4421
Mailing Address - Fax:217-771-1591
Practice Address - Street 1:2663 FARRAGUT DR
Practice Address - Street 2:SUITE B
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-1462
Practice Address - Country:US
Practice Address - Phone:217-370-1985
Practice Address - Fax:217-679-4338
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional