Healthcare Provider Details

I. General information

NPI: 1942317300
Provider Name (Legal Business Name): HELENA D TOMPKINS M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4123 COLUMBUS AVE
NORFOLK VA
23504-1026
US

IV. Provider business mailing address

4123 COLUMBUS AVE
NORFOLK VA
23504-1026
US

V. Phone/Fax

Practice location:
  • Phone: 757-627-9497
  • Fax: 757-627-3443
Mailing address:
  • Phone: 757-627-9497
  • Fax: 757-627-3443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701003309
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: