Provider Demographics
NPI:1952908113
Name:TOMPKINS COMMUNITY COUNSELING, LCSW, PLLC
Entity Type:Organization
Organization Name:TOMPKINS COMMUNITY COUNSELING, LCSW, PLLC
Other - Org Name:TOMPKINS ALTERNATIVE COUNSELING, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHOLL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:607-342-4403
Mailing Address - Street 1:318 N AURORA ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-4274
Mailing Address - Country:US
Mailing Address - Phone:607-342-4403
Mailing Address - Fax:
Practice Address - Street 1:318 N AURORA ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4274
Practice Address - Country:US
Practice Address - Phone:607-342-4403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty