Provider Demographics
NPI:1003616624
Name:HOWARD, TAMI ANN (NC LMBT#22403)
Entity type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:ANN
Last Name:HOWARD
Suffix:
Gender:
Credentials:NC LMBT#22403
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HALF MOON RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-8901
Mailing Address - Country:US
Mailing Address - Phone:518-354-1009
Mailing Address - Fax:518-354-1009
Practice Address - Street 1:317 POLLOCK ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4944
Practice Address - Country:US
Practice Address - Phone:252-497-9323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNCLMBT22403225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist