Provider Demographics
NPI:1710191200
Name:RAWLINGS, TONYA R (PLPC)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:R
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:MS
Other - First Name:TONYA
Other - Middle Name:R
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:371830 HWY AW
Mailing Address - Street 2:
Mailing Address - City:PLATO
Mailing Address - State:MO
Mailing Address - Zip Code:65552
Mailing Address - Country:US
Mailing Address - Phone:417-458-1057
Mailing Address - Fax:
Practice Address - Street 1:413 HISTORIC 66 W
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65583-2114
Practice Address - Country:US
Practice Address - Phone:573-774-4198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007012417101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490640000Medicaid