Provider Demographics
NPI:1669299459
Name:VICKY TOMPKINS LMFT LLC
Entity type:Organization
Organization Name:VICKY TOMPKINS LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-888-2890
Mailing Address - Street 1:22 PINE ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-6949
Mailing Address - Country:US
Mailing Address - Phone:860-888-2890
Mailing Address - Fax:860-540-1130
Practice Address - Street 1:22 PINE ST STE 205
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-6949
Practice Address - Country:US
Practice Address - Phone:860-888-2890
Practice Address - Fax:860-540-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty