Provider Demographics
NPI:1306994579
Name:TOMLINSON, PHYLIS R (LPC, LMFT, ATR)
Entity type:Individual
Prefix:MS
First Name:PHYLIS
Middle Name:R
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:LPC, LMFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 WEST LOOP S
Mailing Address - Street 2:400
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2402
Mailing Address - Country:US
Mailing Address - Phone:713-668-6558
Mailing Address - Fax:713-668-2511
Practice Address - Street 1:5909 WEST LOOP S
Practice Address - Street 2:400
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2402
Practice Address - Country:US
Practice Address - Phone:713-668-6558
Practice Address - Fax:713-668-2511
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81918306738101YM0800X
TX232200019211106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101YM0800XOtherLPC
TX106H00000XOtherLMFT