Healthcare Provider Details

I. General information

NPI: 1962973107
Provider Name (Legal Business Name): TAMIA BARNES TOMASEK COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 12/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 2ND AVE STE 404B
SILVER SPRING MD
20910-3374
US

IV. Provider business mailing address

8609 2ND AVE STE 404B
SILVER SPRING MD
20910-3374
US

V. Phone/Fax

Practice location:
  • Phone: 202-674-2887
  • Fax: 202-499-5637
Mailing address:
  • Phone: 202-674-2887
  • Fax: 202-499-5637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMIA BARNES TOMASEK
Title or Position: PRESIDENT/FOUNDER
Credential: LCPC
Phone: 202-674-2887