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NPI Code Detail

MEDICARE: DJ TOMLIN CONSULTING PLLC

MEDICARE: DJ TOMLIN CONSULTING PLLC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1528766474
Entity Type Code : Organization
Provider Name (Legal Business Name) : DJ TOMLIN CONSULTING PLLC
Provider Business Mailing Address
First Line : PO BOX 42102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-0002
Country : US
Telephone Number : 704-774-7249
Fax Number :
Provider Business Practice Location Address
First Line : 9711 DAVID TAYLOR DR STE 143
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-2366
Country : US
Telephone Number : 704-774-7249
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DIANE JONES TOMLIN
Credential : LCMHC
Telephone Number : 704-774-7249
Provider Enumeration Date : 02/20/2023
Last Update Date : 06/30/2024

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Directions to “DJ TOMLIN CONSULTING PLLC ” Practice Location

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