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NPI Code Detail

MEDICARE: TRACY HOWLAND L.C.P.C.

MEDICARE: TRACY HOWLAND L.C.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180.007256IL

General Provider Information

NPI Number : 1487885851
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY HOWLAND L.C.P.C.
Provider Business Mailing Address
First Line : 4481 ASH GROVE DR STE B
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-6359
Country : US
Telephone Number : 217-247-4421
Fax Number : 217-771-1591
Provider Business Practice Location Address
First Line : 4481 ASH GROVE DR STE B
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-6359
Country : US
Telephone Number : 217-247-4421
Fax Number : 217-771-1591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2009
Last Update Date : 08/19/2025

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