Provider Demographics
NPI:1942317300
Name:TOMPKINS, HELENA D (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:D
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4123 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-1026
Mailing Address - Country:US
Mailing Address - Phone:757-627-9497
Mailing Address - Fax:757-627-3443
Practice Address - Street 1:4123 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-1026
Practice Address - Country:US
Practice Address - Phone:757-627-9497
Practice Address - Fax:757-627-3443
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003309101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5414750Medicaid