Provider Demographics
NPI:1447683081
Name:HOWE, MICHELLE LEANN (MSPS, LPC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEANN
Last Name:HOWE
Suffix:
Gender:F
Credentials:MSPS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16731 N COUNTY ROAD 3022
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:OK
Mailing Address - Zip Code:73052-9302
Mailing Address - Country:US
Mailing Address - Phone:405-756-0481
Mailing Address - Fax:
Practice Address - Street 1:105 N 10TH ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4611
Practice Address - Country:US
Practice Address - Phone:405-756-0481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200526960BMedicaid