Provider Demographics
NPI:1093970352
Name:HERINGTON, THOMAS R (LPC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:R
Last Name:HERINGTON
Suffix:
Gender:M
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:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:LIMESTONE
Mailing Address - State:TN
Mailing Address - Zip Code:37681-0278
Mailing Address - Country:US
Mailing Address - Phone:423-257-6054
Mailing Address - Fax:423-257-6975
Practice Address - Street 1:110 STEPPENSTONE BLVD
Practice Address - Street 2:
Practice Address - City:LIMESTONE
Practice Address - State:TN
Practice Address - Zip Code:37681-2740
Practice Address - Country:US
Practice Address - Phone:423-257-6054
Practice Address - Fax:423-257-6975
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC000000038101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health