Provider Demographics
NPI:1063682615
Name:NEWKIRK, TIFFANY TOMLINSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:TOMLINSON
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 N HIGHWAY 123 BYP STE 1
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5162
Mailing Address - Country:US
Mailing Address - Phone:830-379-1949
Mailing Address - Fax:830-379-1949
Practice Address - Street 1:628 N HIGHWAY 123 BYP STE 1
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5162
Practice Address - Country:US
Practice Address - Phone:830-379-1949
Practice Address - Fax:830-379-1949
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health