MEDICARE: MS. HELENA D TOMPKINS M.ED., LPC

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
1	101Y00000X	Counselor	0701003309	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942317300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HELENA D TOMPKINS M.ED., LPC

Provider Business Mailing Address
First Line	:	4123 COLUMBUS AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-1026
Country	:	US
Telephone Number	:	757-627-9497
Fax Number	:	757-627-3443

Provider Business Practice Location Address
First Line	:	4123 COLUMBUS AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-1026
Country	:	US
Telephone Number	:	757-627-9497
Fax Number	:	757-627-3443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/09/2007

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