Provider Demographics
NPI:1689684540
Name:LUMPKIN, THOMAS RILEY JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:RILEY
Last Name:LUMPKIN
Suffix:JR
Gender:M
Credentials:LPC
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Mailing Address - Street 1:2501 WOODLAND RD
Mailing Address - Street 2:2501 WOODLAND ROAD
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-3540
Mailing Address - Country:US
Mailing Address - Phone:205-348-7236
Mailing Address - Fax:205-348-9368
Practice Address - Street 1:2501 WOODLAND RD
Practice Address - Street 2:2501 WOODLAND ROAD
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5028
Practice Address - Country:US
Practice Address - Phone:205-348-7236
Practice Address - Fax:205-348-9368
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL1640101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6232194OtherUNITED BEHAVIORAL HEALTH