Provider Demographics
NPI:1255088332
Name:TOMKINS, SALLY JONES (AADC-IP)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:JONES
Last Name:TOMKINS
Suffix:
Gender:F
Credentials:AADC-IP
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:JONES
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2410
Mailing Address - Country:US
Mailing Address - Phone:864-467-3751
Mailing Address - Fax:864-467-3876
Practice Address - Street 1:6 DUNEAN ST BLDG 8
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-6089
Practice Address - Country:US
Practice Address - Phone:864-467-3751
Practice Address - Fax:864-467-3876
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)