Provider Demographics
NPI:1386386571
Name:TOMASZEWSKI, LAURA (NCC, LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:TOMASZEWSKI
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 93843
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85070-3843
Mailing Address - Country:US
Mailing Address - Phone:480-269-6008
Mailing Address - Fax:
Practice Address - Street 1:2 MANHATTANVILLE RD STE 203
Practice Address - Street 2:
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2118
Practice Address - Country:US
Practice Address - Phone:480-269-6008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16538101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health