Provider Demographics
NPI:1588999023
Name:HOWLEY, THOMAS FRANCIS
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:FRANCIS
Last Name:HOWLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 FAIRVIEW LN
Mailing Address - Street 2:
Mailing Address - City:MOUND
Mailing Address - State:MN
Mailing Address - Zip Code:55364-1756
Mailing Address - Country:US
Mailing Address - Phone:651-255-6712
Mailing Address - Fax:
Practice Address - Street 1:1524 COUNTY ROAD C2 W
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1635
Practice Address - Country:US
Practice Address - Phone:651-255-6712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPC00082101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health