Provider Demographics
NPI:1104810035
Name:LOGGINS, JOHN HOWELL (LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HOWELL
Last Name:LOGGINS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 BRYANT IRVIN CT
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7600
Mailing Address - Country:US
Mailing Address - Phone:817-738-9539
Mailing Address - Fax:817-377-4750
Practice Address - Street 1:4700 BRYANT IRVIN CT
Practice Address - Street 2:SUITE 205
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7600
Practice Address - Country:US
Practice Address - Phone:817-738-9539
Practice Address - Fax:817-377-4750
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health